FRED MEYER STORES INC
Community/Retail Pharmacy · BONNEY LAKE, WA
Organization Active NPI 1790711489
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 322 | 1,112 | $82,255 | $80,396 | $80,396 |
| 2023 | 361 | 1,115 | $70,631 | $68,973 | $68,973 |
| 2022 | 376 | 1,010 | $37,489 | $36,797 | $36,797 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 265 | $30 | $30 |
| G0008 | Administration of influenza virus vaccine | 263 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 249 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 219 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 45 | $155 | $155 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 28 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 28 | $17 | $17 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 14 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF00004938 | 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.