LONGS DRUG STORES CALIFORNIA LLC
Community/Retail Pharmacy · HILO, HI
Organization Active NPI 1134161961
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 793 | 2,756 | $226,722 | $220,020 | $220,020 |
| 2023 | 1,241 | 6,845 | $224,201 | $215,833 | $215,833 |
| 2022 | 1,742 | 8,215 | $246,414 | $228,281 | $228,281 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 705 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 694 | $151 | $151 |
| G0008 | Administration of influenza virus vaccine | 621 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 337 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 254 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 52 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 52 | $291 | $291 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 19 | $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 | 11 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY376 | 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.