ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · BROOKFIELD, WI
Organization Active NPI 1083762348
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 93 | 346 | $26,070 | $25,418 | $25,418 |
| 2023 | 95 | 327 | $20,952 | $19,913 | $19,913 |
| 2022 | 96 | 267 | $8,830 | $8,540 | $8,540 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 84 | $31 | $31 |
| G0008 | Administration of influenza virus vaccine | 78 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 74 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 69 | $142 | $142 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 14 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 11 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 8545042 | WI |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Wisconsin
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.