ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · WESTCHESTER, IL
Organization Active NPI 1023449923
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 250 | 808 | $58,012 | $56,730 | $56,730 |
| 2023 | 234 | 679 | $45,622 | $44,047 | $44,047 |
| 2022 | 308 | 892 | $30,354 | $29,802 | $29,802 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 197 | $31 | $31 |
| G0008 | Administration of influenza virus vaccine | 194 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 185 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 175 | $147 | $147 |
| 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 | 16 | $157 | $157 |
| G0009 | Administration of pneumococcal vaccine | 13 | $19 | $19 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 054-018483 | IL |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.