LONGS DRUG STORES CALIFORNIA LLC
Community/Retail Pharmacy · LAHAINA, HI
Organization Active NPI 1043252877
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 254 | 892 | $75,590 | $72,142 | $72,142 |
| 2023 | 502 | 3,187 | $86,477 | $81,040 | $81,040 |
| 2022 | 622 | 2,760 | $77,564 | $70,882 | $70,882 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 213 | $43 | $43 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 212 | $143 | $143 |
| G0008 | Administration of influenza virus vaccine | 198 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 136 | $80 | $80 |
| 90653 | Influenza vaccine, inactivated | 48 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 35 | $32 | $32 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 34 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY386 | HI |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.