ROUNDYS SUPERMARKETS INC
Community/Retail Pharmacy · MENOMONEE FALLS, WI
Organization Active NPI 1851442842
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 60 | 200 | $15,845 | $15,490 | $15,490 |
| 2023 | 45 | 197 | $12,175 | $11,718 | $11,718 |
| 2022 | 58 | 408 | $4,776 | $4,679 | $4,679 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 46 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 44 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 42 | $28 | $28 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 31 | $148 | $148 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 12 | $17 | $17 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 11 | $157 | $157 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 9235-42 | 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.