LONGS DRUG STORES CALIFORNIA LLC
Pharmacy · HONOLULU, HI
Organization Active NPI 1205203544
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 884 | 3,088 | $263,020 | $255,825 | $255,825 |
| 2023 | 1,338 | 8,530 | $265,136 | $254,117 | $254,117 |
| 2022 | 1,937 | 10,299 | $230,516 | $208,802 | $208,802 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 887 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 880 | $150 | $150 |
| G0008 | Administration of influenza virus vaccine | 587 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 296 | $80 | $80 |
| 90653 | Influenza vaccine, inactivated | 259 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 70 | $28 | $28 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 69 | $290 | $290 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 21 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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.