LONGS DRUG STORES CALIFORNIA LLC
Community/Retail Pharmacy · HONOLULU, HI
Organization Active NPI 1285677534
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,362 | 4,462 | $387,027 | $366,666 | $366,666 |
| 2023 | 2,315 | 13,521 | $416,434 | $386,401 | $386,401 |
| 2022 | 2,800 | 15,169 | $325,637 | $293,733 | $293,733 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 1,362 | $43 | $43 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 1,357 | $141 | $141 |
| G0008 | Administration of influenza virus vaccine | 774 | $31 | $31 |
| 90653 | Influenza vaccine, inactivated | 359 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 351 | $81 | $81 |
| G0009 | Administration of pneumococcal vaccine | 95 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 95 | $290 | $290 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 35 | $82 | $82 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 16 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY535 | 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.