ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · HALES CORNERS, WI
Organization Active NPI 1760533756
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 126 | 432 | $30,620 | $29,877 | $29,877 |
| 2023 | 73 | 221 | $12,740 | $12,137 | $12,137 |
| 2022 | 104 | 323 | $9,115 | $8,800 | $8,800 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 112 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 109 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 97 | $29 | $29 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 73 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 24 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 8708042 | 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.