FRED MEYER STORES INC
Community/Retail Pharmacy · HILLSBORO, OR
Organization Active NPI 1932135142
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 230 | 879 | $68,076 | $66,667 | $66,667 |
| 2023 | 183 | 667 | $30,116 | $29,412 | $29,412 |
| 2022 | 204 | 748 | $20,430 | $19,732 | $19,732 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 215 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 190 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 186 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 151 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 60 | $152 | $152 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 34 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 34 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | RP0001892CS | 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.