FRED MEYER STORES INC
Community/Retail Pharmacy · GRANTS PASS, OR
Organization Active NPI 1841236486
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 391 | 1,320 | $97,998 | $96,039 | $96,039 |
| 2023 | 355 | 996 | $66,720 | $65,019 | $65,019 |
| 2022 | 351 | 772 | $36,390 | $35,215 | $35,215 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 328 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 300 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 283 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 244 | $152 | $152 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 69 | $144 | $144 |
| G0009 | Administration of pneumococcal vaccine | 32 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 29 | $291 | $291 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 15 | $158 | $158 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 11 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | RP0001052CS | 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.