ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · FOND DU LAC, WI
Organization Active NPI 1801944160
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 192 | 701 | $52,487 | $51,294 | $51,294 |
| 2023 | 151 | 468 | $29,986 | $28,549 | $28,549 |
| 2022 | 181 | 512 | $13,756 | $13,300 | $13,300 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 170 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 166 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 156 | $28 | $28 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 108 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 38 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 24 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 24 | $17 | $17 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 11 | $157 | $157 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 8444042 | WI |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.