ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · BROOKFIELD, WI
Organization Active NPI 1154659787
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 78 | 262 | $19,205 | $18,767 | $18,767 |
| 2023 | 84 | 312 | $17,614 | $16,790 | $16,790 |
| 2022 | 111 | 365 | $11,184 | $10,778 | $10,778 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 64 | $12 | $12 |
| 90480 | Admn sarscov2 vacc 1 dose | 61 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 57 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 52 | $150 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 8976-42 | WI |
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.