HARRIS TEETER, LLC
Community/Retail Pharmacy · PURCELLVILLE, VA
Organization Active NPI 1144596438
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 306 | 1,025 | $76,218 | $74,596 | $74,596 |
| 2023 | 323 | 1,000 | $65,163 | $63,027 | $63,027 |
| 2022 | 328 | 719 | $31,345 | $30,646 | $30,646 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 246 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 237 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 220 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 150 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 86 | $150 | $150 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 29 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 29 | $18 | $18 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 12 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
Other Community/Retail Pharmacy providers in Virginia
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.