HARRIS TEETER, LLC
Community/Retail Pharmacy · ALDIE, VA
Organization Active NPI 1558457002
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 156 | 584 | $43,790 | $42,778 | $42,778 |
| 2023 | 168 | 479 | $32,990 | $31,898 | $31,898 |
| 2022 | 200 | 413 | $20,548 | $20,086 | $20,086 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 140 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 134 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 130 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 78 | $144 | $144 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 61 | $154 | $154 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 18 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 18 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0201004049 | VA |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.