ROUNDY'S SUPERMARKETS, INC
Community/Retail Pharmacy · LOMBARD, IL
Organization Active NPI 1477098978
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 151 | 556 | $42,445 | $41,380 | $41,380 |
| 2023 | 176 | 683 | $33,320 | $32,171 | $32,171 |
| 2022 | 206 | 1,053 | $22,211 | $21,820 | $21,820 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 150 | $30 | $30 |
| G0008 | Administration of influenza virus vaccine | 114 | $12 | $12 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 108 | $143 | $143 |
| 90662 | Influenza vaccine split virus, preservative free | 108 | $81 | $81 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 34 | $156 | $156 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 14 | $19 | $19 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.