ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · MENOMONEE FALLS, WI
Organization Active NPI 1689820987
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 116 | 396 | $30,345 | $29,653 | $29,653 |
| 2023 | 109 | 347 | $21,557 | $20,548 | $20,548 |
| 2022 | 110 | 540 | $12,166 | $11,821 | $11,821 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 96 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 88 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 83 | $29 | $29 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 60 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 23 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 19 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 9025-042 | 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.