ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · WHEATON, IL
Organization Active NPI 1154758837
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 180 | 578 | $43,560 | $42,599 | $42,599 |
| 2023 | 176 | 616 | $34,060 | $32,881 | $32,881 |
| 2022 | 238 | 1,069 | $24,432 | $24,020 | $24,020 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 152 | $30 | $30 |
| G0008 | Administration of influenza virus vaccine | 124 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 120 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 110 | $143 | $143 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 29 | $158 | $158 |
| 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 | 13 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 13 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 054.018304 | 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.