ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · ELMHURST, IL
Organization Active NPI 1184068777
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 125 | 434 | $32,070 | $31,372 | $31,372 |
| 2023 | 138 | 543 | $26,484 | $25,637 | $25,637 |
| 2022 | 200 | 813 | $22,198 | $21,816 | $21,816 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 104 | $12 | $12 |
| 90480 | Admn sarscov2 vacc 1 dose | 102 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 101 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 91 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 11 | $150 | $150 |
| 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 | ✓ | 054-018203 | 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.