Supplier
Roundys Supermarkets INC
Roundys Supermarkets INC was paid $307.05 by Medicaid between Oct 2018 and Oct 2021, across 1 billing code. Its largest line is 90686, — 100% of everything it billed.
33Billing provider infoROUNDYS SUPERMARKETS INC
GREENFIELD, WI 53220
GREENFIELD, WI 53220
33aNPI1568750545assigned 07/12/2011
33bProvider typeCommunity/Retail Pharmacy
28Total paid$307.05
24GClaims59
24DCodes billed1
24AFirst – last monthOct 2018 – Oct 2021
Compared with peers
Next to other Community/Retail Pharmacy providers in Wisconsin
Rank by total paid#169 of 185
Median peer was paid$6K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12 | $0.00 | |
| 2019 | 17 | $0.00 | |
| 2020 | 15 | $0.00 | |
| 2021 | 15 | $307.05 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90686 | 100% | 59 | 59 | $307.05 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialANDREWS, VICTORIA (MANAGER OF PHARMACY LICENSING)
| Provider | Location | Paid |
|---|---|---|
| Kroger Limited Partnership I | West Memphis, AR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.