LONGS DRUG STORES CALIFORNIA LLC
Pharmacy · KAPOLEI, HI
Organization Active NPI 1255373072
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 541 | 1,868 | $156,012 | $151,385 | $151,385 |
| 2023 | 876 | 4,694 | $182,042 | $176,487 | $176,487 |
| 2022 | 885 | 4,887 | $111,047 | $103,685 | $103,685 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 438 | $31 | $31 |
| 90480 | Admn sarscov2 vacc 1 dose | 427 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 424 | $151 | $151 |
| 90662 | Influenza vaccine split virus, preservative free | 203 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 200 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 69 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 66 | $290 | $290 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 17 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | PHY503 | HI |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.