FRED MEYER STORES INC
Community/Retail Pharmacy · BATTLE GROUND, WA
Organization Active NPI 1801831979
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 197 | 690 | $50,243 | $49,190 | $49,190 |
| 2023 | 198 | 792 | $35,515 | $34,632 | $34,632 |
| 2022 | 212 | 667 | $19,593 | $19,234 | $19,234 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 177 | $28 | $28 |
| G0008 | Administration of influenza virus vaccine | 158 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 154 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 89 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 82 | $151 | $151 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF00056567 | 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.