HARRIS TEETER, LLC
Community/Retail Pharmacy · INDIAN LAND, SC
Organization Active NPI 1790923845
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 620 | 1,888 | $131,425 | $128,673 | $128,673 |
| 2023 | 659 | 1,948 | $111,730 | $108,479 | $108,479 |
| 2022 | 809 | 1,916 | $70,392 | $67,677 | $67,677 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 523 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 508 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 385 | $27 | $27 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 192 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 176 | $154 | $154 |
| G0009 | Administration of pneumococcal vaccine | 36 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 36 | $291 | $291 |
| 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 | 17 | $158 | $158 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 15 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 5010331 | SC |
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See all Community/Retail Pharmacy providers in South Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.