HARRIS TEETER LLC
Community/Retail Pharmacy · CHARLESTON, SC
Organization Active NPI 1144572850
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 232 | 744 | $53,360 | $52,238 | $52,238 |
| 2023 | 188 | 585 | $36,452 | $34,993 | $34,993 |
| 2022 | 240 | 594 | $22,859 | $22,081 | $22,081 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 185 | $27 | $27 |
| G0008 | Administration of influenza virus vaccine | 179 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 152 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 96 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 47 | $152 | $152 |
| 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 | 42 | $158 | $158 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 27 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
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See all Community/Retail Pharmacy providers in South Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.