LONGS DRUG STORES CALIFORNIA LLC
Pharmacy · KAHULUI, HI
Organization Active NPI 1295123636
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 143 | 542 | $49,113 | $47,479 | $47,479 |
| 2023 | 164 | 684 | $34,414 | $32,865 | $32,865 |
| 2022 | 232 | 915 | $28,360 | $26,145 | $26,145 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 141 | $43 | $43 |
| G0008 | Administration of influenza virus vaccine | 98 | $31 | $31 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 89 | $147 | $147 |
| 90662 | Influenza vaccine split virus, preservative free | 53 | $80 | $80 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 50 | $143 | $143 |
| 90653 | Influenza vaccine, inactivated | 38 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 32 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 30 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.