ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · GRAFTON, WI
Organization Active NPI 1629219266
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 150 | 486 | $34,255 | $33,462 | $33,462 |
| 2023 | 110 | 293 | $17,856 | $17,127 | $17,127 |
| 2022 | 118 | 464 | $10,559 | $10,295 | $10,295 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 132 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 126 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 101 | $30 | $30 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 92 | $148 | $148 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 8920-042 | 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.