ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · WESTMONT, IL
Organization Active NPI 1386002145
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 242 | 828 | $59,953 | $58,526 | $58,526 |
| 2023 | 270 | 1,283 | $49,626 | $47,959 | $47,959 |
| 2022 | 456 | 2,586 | $49,382 | $48,520 | $48,520 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 200 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 200 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 189 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 149 | $145 | $145 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 51 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 14 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
Other Community/Retail Pharmacy providers in Illinois
- NPI 1104674845
- NPI 1780630319
- NPI 1215973128
- NPI 1982987251
- NPI 1255415386
- NPI 1073384525
- NPI 1093563736
- NPI 1861263543
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.