LONGS DRUG STORES CALIFORNIA LLC
Pharmacy · CAPITOLA, CA
Organization Active NPI 1104860543
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,741 | 5,818 | $480,460 | $467,333 | $467,333 |
| 2023 | 2,010 | 8,125 | $401,733 | $388,687 | $388,687 |
| 2022 | 2,650 | 9,092 | $295,943 | $267,074 | $267,074 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 1,627 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 1,608 | $152 | $152 |
| G0008 | Administration of influenza virus vaccine | 1,209 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 594 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 545 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 73 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 68 | $291 | $291 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 41 | $36 | $36 |
| 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 | 19 | $156 | $156 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 15 | $76 | $76 |
| 90656 | Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage | 11 | $22 | $22 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | PHY49765 | 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.