ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · HOFFMAN ESTATES, IL
Organization Active NPI 1134484389
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 236 | 828 | $60,190 | $58,847 | $58,847 |
| 2023 | 223 | 903 | $45,668 | $44,159 | $44,159 |
| 2022 | 348 | 1,404 | $37,090 | $36,438 | $36,438 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 199 | $32 | $32 |
| G0008 | Administration of influenza virus vaccine | 198 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 186 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 180 | $145 | $145 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 18 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 17 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 17 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 054-017982 | 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.