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    OpenPayerNPI Medicare & MedicaidHarris Teeter, LLC
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    Harris Teeter, LLC — Billing Profile & Reimbursement Data

    NPI 1528160611 · Reston, VI · Community/Retail Pharmacy

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    Harris Teeter, LLC is a community/retail pharmacy provider located in Reston, U.S. Virgin Islands. This profile covers 8 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHarris Teeter, LLC
    Address11806 Spectrum Center
    CityReston
    StateVI
    ZIP20190
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedSeptember 1, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$39.8K
    Medicaid$0

    Key Findings

    HARRIS TEETER, LLC is operating as a community/retail pharmacy in RESTON, VI with a Medicare lifetime revenue of $39.8K and no Medicaid billing on file (none below). Its NPI was enumerated 2006-09-01 (~20 years ago), indicating a long-enumerated provider despite a relatively modest recorded Medicare footprint.

    The provider’s Medicare activity is heavily driven by vaccine products and administration: the top revenue codes are 91322, 90662, and 91320, which represent SARS–CoV–2 vaccine products and a high‑dose/split influenza vaccine, consistent with a retail pharmacy immunization service line rather than clinic-based procedural care.

    Revenue concentration is high: the precomputed top-three codes (91322, 90662, 91320) account for 71.8% of this provider’s total Medicare revenue. Individually those codes generated $12.3K (31.0%) for 91322, $9.2K (23.1%) for 90662, and $7K (17.7%) for 91320, showing most Medicare dollars come from a small set of vaccine products.

    Claims-level activity shows both product and administration billing: 90662 had 133 claims with a $69 avg paid/claim ($9.2K revenue) and 91322 had 86 claims with a $143 avg paid/claim ($12.3K revenue), while administration codes such as 90480 (141 claims, $36 avg, $5.1K revenue) and G0008 (142 claims, $24 avg, $3.4K revenue) also contribute materially. This mix indicates the pharmacy bills for both vaccine supply and the act of administering immunizations.

    Competitive standing versus national Medicare peers is modest and mixed by code: 90662 ranks #8724 of 70752 providers nationally (87th percentile), indicating relatively strong flu‑vaccine volume compared with peers, while 91322 ranks #12020 of 29357 (59th percentile) and 91320 ranks #14234 of 27083 (47th percentile), both characterized as typical, unremarkable volume. Administration code 90480 ranks #14845 of 46950 (68th percentile) and G0008 ranks #22117 of 119096 (81th percentile), further underscoring a presence that is noticeable for some vaccine lines but not dominant overall.

    Testing activity is present but low-revenue: code K1034 appears with 253 claims and a $6 avg paid/claim for $1.5K revenue, and it ranks #22469 of 30143 providers nationally (25th percentile), signaling below‑typical national standing for nonprescription self‑administered COVID test provisioning despite relatively high claim volume.

    The absence of any Medicaid billing on file (none below) makes this provider effectively single‑payer in the available dataset, with all documented public payer revenue coming from Medicare. That payer mix concentration increases exposure to Medicare reimbursement dynamics and suggests the provider’s Medicaid reach or participation is minimal or not captured here.

    Taken together, the data portray a long‑tenured retail pharmacy with a focused Medicare revenue stream concentrated in a few vaccine products and related administration codes, modest overall Medicare scale ($39.8K), and selective competitive strength on influenza vaccination (90662) but otherwise typical volumes against national peers.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.90$140$12.3K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…130$70$9.2K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.60$130$7K
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.140$40$5.1K
    G0008Administration of influenza virus vaccine140$20$3.4K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count250$10$1.5K
    0124AN/A20$40$660
    0134AN/A10$40$550

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9132221090$140$14.1K
    9132011060$130$7.1K
    90480210140$40$4.6K
    9066211020$70$3.8K
    G000811050$30$1.7K
    K1034110200$10$1.6K
    0124A11020$40$640
    0134A11010$40$550

    Nearby Providers

    Other providers in the same ZIP code as Harris Teeter, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reston Hospital Center LLCVAGeneral Acute Care Hospital$0$14.9M
    Phong NguyenVARheumatology Physician$4.2M$0
    Reston Surgery Center, LPVAAmbulatory Surgical Clinic/Center$2.8M$869.2K
    Claude Abujrab-sabaVARheumatology Physician$2.9M$0
    Alexia GospodinoffVARheumatology Physician$812.5K$0
    Dhruv PatederVAOrthopaedic Surgery of the Spine Physician$607.7K$0
    Ahmad NooriVANephrology Physician$341.1K$190.1K
    Mark TekronyVANeurology Physician$349.6K$0
    Theodore SebastienVAMOHS-Micrographic Surgery Physician$335.3K$0
    Andrew SiegelVAOphthalmology Physician$333.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. U.S. Virgin Islands Distribution
    Harris Teeter, LLC — 3 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands