HARRIS TEETER LLC
Community/Retail Pharmacy · WILLIAMSBURG, VA
Organization Active NPI 1629575006
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 625 | 2,040 | $150,035 | $146,885 | $146,885 |
| 2023 | 354 | 1,045 | $57,319 | $55,064 | $55,064 |
| 2022 | 623 | 1,588 | $62,262 | $60,882 | $60,882 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 496 | $28 | $28 |
| G0008 | Administration of influenza virus vaccine | 476 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 467 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 309 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 154 | $151 | $151 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 48 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 48 | $17 | $17 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 33 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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.