ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · BROOKFIELD, WI
Organization Active NPI 1164745162
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 120 | 428 | $31,640 | $30,899 | $30,899 |
| 2023 | 106 | 309 | $19,880 | $18,875 | $18,875 |
| 2022 | 127 | 397 | $11,691 | $11,309 | $11,309 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 102 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 101 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 98 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 88 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 14 | $158 | $158 |
| 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 | ✓ | 8999-042 | WI |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Wisconsin
- NPI 1114994209
- NPI 1912154774
- NPI 1902417207
- NPI 1831073022
- NPI 1326291345
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- NPI 1083762348
- NPI 1649247735
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.