HARRIS TEETER LLC
Community/Retail Pharmacy · CHARLESTON, SC
Organization Active NPI 1821513235
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 226 | 746 | $54,265 | $53,101 | $53,101 |
| 2023 | 204 | 620 | $40,915 | $39,695 | $39,695 |
| 2022 | 286 | 621 | $27,655 | $26,486 | $26,486 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 189 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 178 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 163 | $27 | $27 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 72 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 68 | $155 | $155 |
| 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 | 23 | $158 | $158 |
| G0009 | Administration of pneumococcal vaccine | 21 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 11 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in South Carolina
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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.