LONGS DRUG STORES CALIFORNIA LLC
Pharmacy · RANCHO MIRAGE, CA
Organization Active NPI 1053354225
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,845 | 6,154 | $504,388 | $490,961 | $490,961 |
| 2023 | 2,211 | 11,055 | $439,317 | $422,811 | $422,811 |
| 2022 | 2,679 | 9,197 | $363,889 | $330,585 | $330,585 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 1,588 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 1,571 | $152 | $152 |
| G0008 | Administration of influenza virus vaccine | 1,367 | $30 | $30 |
| 90653 | Influenza vaccine, inactivated | 684 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 604 | $81 | $81 |
| G0009 | Administration of pneumococcal vaccine | 122 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 108 | $290 | $290 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 37 | $36 | $36 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 32 | $76 | $76 |
| 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 | 17 | $156 | $156 |
| 90732 | Pneumococcal vaccine, 23-valent | 14 | $131 | $131 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | PHY49418 | CA |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.