ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · BLOOMINGDALE, IL
Organization Active NPI 1669915005
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 130 | 466 | $33,570 | $32,836 | $32,836 |
| 2023 | 107 | 349 | $20,562 | $19,819 | $19,819 |
| 2022 | 176 | 626 | $16,399 | $16,112 | $16,112 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 119 | $30 | $30 |
| G0008 | Administration of influenza virus vaccine | 110 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 105 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 100 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 19 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.