ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · BROWN DEER, WI
Organization Active NPI 1023280567
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 67 | 230 | $17,219 | $16,778 | $16,778 |
| 2023 | 76 | 290 | $15,648 | $14,897 | $14,897 |
| 2022 | 77 | 286 | $5,875 | $5,685 | $5,685 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 59 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 51 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 45 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 36 | $142 | $142 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 21 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 882642 | WI |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.