FRED MEYER STORES INC
Community/Retail Pharmacy · PORT ORCHARD, WA
Organization Active NPI 1992740062
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 398 | 1,328 | $96,396 | $94,311 | $94,311 |
| 2023 | 493 | 1,597 | $92,687 | $90,419 | $90,419 |
| 2022 | 625 | 1,640 | $60,140 | $59,070 | $59,070 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 343 | $30 | $30 |
| G0008 | Administration of influenza virus vaccine | 306 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 288 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 250 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 88 | $150 | $150 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 16 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 15 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 15 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF00056556 | WA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Washington
- NPI 1255102307
- NPI 1871341529
- NPI 1245001833
- NPI 1205882826
- NPI 1841246766
- NPI 1578489712
- NPI 1134865074
- NPI 1588675623
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.