LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy · PEARL CITY, HI
Organization Active NPI 1023338720
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,035 | 3,444 | $284,254 | $276,334 | $276,334 |
| 2023 | 1,469 | 8,586 | $289,737 | $279,333 | $279,333 |
| 2022 | 1,734 | 8,731 | $212,467 | $194,481 | $194,481 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 870 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 867 | $152 | $152 |
| G0008 | Administration of influenza virus vaccine | 779 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 473 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 267 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 73 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 72 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 18 | $82 | $82 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 13 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PHY-784 | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.