HARRIS TEETER, LLC
Community/Retail Pharmacy · CHARLOTTESVILLE, VA
Organization Active NPI 1386923761
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 552 | 1,798 | $127,830 | $125,129 | $125,129 |
| 2023 | 279 | 730 | $48,558 | $46,813 | $46,813 |
| 2022 | 547 | 1,072 | $49,506 | $48,458 | $48,458 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 442 | $12 | $12 |
| 90480 | Admn sarscov2 vacc 1 dose | 436 | $28 | $28 |
| 90662 | Influenza vaccine split virus, preservative free | 434 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 276 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 160 | $154 | $154 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 21 | $18 | $18 |
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.