FRED MEYER STORES INC
Community/Retail Pharmacy · POCATELLO, ID
Organization Active NPI 1740225275
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 327 | 1,182 | $88,197 | $86,280 | $86,280 |
| 2023 | 341 | 1,039 | $63,963 | $62,272 | $62,272 |
| 2022 | 448 | 1,145 | $47,970 | $45,987 | $45,987 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 296 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 285 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 250 | $28 | $28 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 208 | $149 | $149 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 45 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 45 | $17 | $17 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 36 | $157 | $157 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 11 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1292RP | ID |
| 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.