HARRIS TEETER, LLC
Community/Retail Pharmacy · CHARLOTTESVILLE, VA
Organization Active NPI 1568566990
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 560 | 1,992 | $142,720 | $139,211 | $139,211 |
| 2023 | 526 | 1,677 | $100,747 | $97,177 | $97,177 |
| 2022 | 502 | 1,145 | $45,171 | $44,196 | $44,196 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 504 | $31 | $31 |
| G0008 | Administration of influenza virus vaccine | 471 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 452 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 412 | $143 | $143 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 87 | $156 | $156 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 21 | $18 | $18 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 17 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0201004044 | VA |
Other Community/Retail Pharmacy providers in Virginia
- NPI 1649669904
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.