ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · BROOKFIELD, WI
Organization Active NPI 1326291345
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 126 | 414 | $29,220 | $28,428 | $28,428 |
| 2023 | 122 | 502 | $21,028 | $20,180 | $20,180 |
| 2022 | 176 | 926 | $18,639 | $18,073 | $18,073 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 104 | $31 | $31 |
| G0008 | Administration of influenza virus vaccine | 101 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 97 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 96 | $145 | $145 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 8886-42 | WI |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Wisconsin
- NPI 1114994209
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.