ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · GURNEE, IL
Organization Active NPI 1487085288
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 167 | 640 | $48,650 | $47,412 | $47,412 |
| 2023 | 160 | 586 | $33,557 | $32,424 | $32,424 |
| 2022 | 269 | 1,036 | $31,402 | $30,855 | $30,855 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 161 | $30 | $30 |
| G0008 | Administration of influenza virus vaccine | 140 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 133 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 119 | $143 | $143 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 42 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 19 | $19 | $19 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 054018490 | 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.