FRED MEYER STORES INC
Community/Retail Pharmacy · BURLINGTON, WA
Organization Active NPI 1669408878
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 475 | 1,748 | $133,666 | $130,735 | $130,735 |
| 2023 | 521 | 1,942 | $96,544 | $94,371 | $94,371 |
| 2022 | 586 | 2,184 | $56,720 | $55,706 | $55,706 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 444 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 378 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 371 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 333 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 97 | $153 | $153 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 52 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 52 | $17 | $17 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 14 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF00004751 | WA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.