FRED MEYER STORES INC
Community/Retail Pharmacy · SHORELINE, WA
Organization Active NPI 1770529216
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 383 | 1,337 | $98,534 | $96,523 | $96,523 |
| 2023 | 417 | 1,509 | $75,272 | $73,600 | $73,600 |
| 2022 | 607 | 2,031 | $51,207 | $50,300 | $50,300 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 388 | $32 | $32 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 311 | $144 | $144 |
| G0008 | Administration of influenza virus vaccine | 276 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 263 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 69 | $156 | $156 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 13 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF00002207 | 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.