ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · MEQUON, WI
Organization Active NPI 1518262922
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 259 | 906 | $67,905 | $66,240 | $66,240 |
| 2023 | 232 | 787 | $44,277 | $42,048 | $42,048 |
| 2022 | 210 | 786 | $20,385 | $19,776 | $19,776 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 216 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 210 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 206 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 148 | $144 | $144 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 68 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 27 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 27 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 9057-042 | WI |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.