Supplier
Harris Teeter, LLC
Harris Teeter, LLC was paid $200.00 by Medicaid between Oct 2022 and Nov 2022, across 1 billing code. Its largest line is 90686, — 100% of everything it billed.
33Billing provider infoHARRIS TEETER, LLC
CHARLOTTE, NC 28226
CHARLOTTE, NC 28226
33aNPI1659484319assigned 08/16/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$200.00
24GClaims42
24DCodes billed1
24AFirst – last monthOct 2022 – Nov 2022
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in North Carolina
Rank by total paid#687 of 780
Median peer was paid$5K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 42 | $200.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90686 | 100% | 42 | 26 | $200.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWARD, ROSE (MANAGER, PHARMACY ADMIN/AR)
| Provider | Location | Paid |
|---|---|---|
| Harris Teeter, LLC | Burlington, NC | $3K |
| Harris Teeter, LLC | Charlotte, NC | $2K |
| Harris Teeter, LLC | Cary, NC | $950.00 |
| Harris Teeter, LLC | Greensboro, NC | $780.00 |
| Harris Teeter, LLC | Morrisville, NC | $520.00 |
| Harris Teeter, LLC | Greensboro, NC | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.