ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · NORTHFIELD, IL
Organization Active NPI 1457782252
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 371 | 1,394 | $106,016 | $103,586 | $103,586 |
| 2023 | 374 | 1,230 | $76,219 | $73,693 | $73,693 |
| 2022 | 446 | 1,282 | $42,666 | $41,920 | $41,920 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 393 | $32 | $32 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 298 | $142 | $142 |
| G0008 | Administration of influenza virus vaccine | 278 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 274 | $81 | $81 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 89 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 26 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 26 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 054-018491 | 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.