HARRIS TEETER LLC
Community/Retail Pharmacy · ARLINGTON, VA
Organization Active NPI 1285736397
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 79 | 286 | $21,205 | $20,780 | $20,780 |
| 2023 | 88 | 284 | $19,480 | $19,019 | $19,019 |
| 2022 | 101 | 212 | $9,368 | $9,213 | $9,213 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 79 | $31 | $31 |
| G0008 | Administration of influenza virus vaccine | 60 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 59 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 43 | $140 | $140 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 36 | $153 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0201003740 | VA |
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.