LONGS DRUG STORES CALIFORNIA LLC
Pharmacy · KAILUA, HI
Organization Active NPI 1104214543
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 172 | 578 | $49,480 | $48,062 | $48,062 |
| 2023 | 298 | 1,584 | $60,836 | $58,676 | $58,676 |
| 2022 | 318 | 1,650 | $38,128 | $35,129 | $35,129 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 172 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 170 | $150 | $150 |
| G0008 | Administration of influenza virus vaccine | 106 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 80 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 24 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $289 | $289 |
| G0009 | Administration of pneumococcal vaccine | 11 | $29 | $29 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | PHY-899 | HI |
Other Pharmacy providers in Hawaii
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.