ROUNDY'S SUPERMARKETS INC
Community/Retail Pharmacy · BANNOCKBURN, IL
Organization Active NPI 1659897098
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 226 | 792 | $58,325 | $56,976 | $56,976 |
| 2023 | 225 | 753 | $42,690 | $41,221 | $41,221 |
| 2022 | 289 | 974 | $28,043 | $27,547 | $27,547 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 206 | $32 | $32 |
| G0008 | Administration of influenza virus vaccine | 178 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 171 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 169 | $143 | $143 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 37 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 12 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Illinois
- NPI 1114775806
- NPI 1255415386
- NPI 1861263543
- NPI 1013788728
- NPI 1093563736
- NPI 1073384525
- NPI 1083485072
- NPI 1073384871
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.