FRED MEYER STORES INC
Community/Retail Pharmacy · FLORENCE, OR
Organization Active NPI 1740223957
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 725 | 2,586 | $185,685 | $181,938 | $181,938 |
| 2023 | 627 | 2,012 | $125,651 | $122,757 | $122,757 |
| 2022 | 450 | 1,199 | $51,237 | $49,949 | $49,949 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 644 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 619 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 602 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 420 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 218 | $149 | $149 |
| G0009 | Administration of pneumococcal vaccine | 30 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 29 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 17 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | RP0001809CS | OR |
| 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.