ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · WESTERN SPRINGS, IL
Organization Active NPI 1669803466
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 331 | 1,186 | $87,051 | $85,117 | $85,117 |
| 2023 | 339 | 1,183 | $65,608 | $63,368 | $63,368 |
| 2022 | 369 | 1,400 | $40,569 | $39,851 | $39,851 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 298 | $32 | $32 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 286 | $145 | $145 |
| G0008 | Administration of influenza virus vaccine | 273 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 268 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 22 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 22 | $19 | $19 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 054018496 | 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.