LONGS DRUG STORES CALIFORNIA, L.L.C.
Community/Retail Pharmacy · KANEOHE, HI
Organization Active NPI 1316989148
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 898 | 3,036 | $252,850 | $245,470 | $245,470 |
| 2023 | 1,546 | 11,040 | $290,162 | $279,332 | $279,332 |
| 2022 | 1,563 | 8,769 | $208,547 | $191,691 | $191,691 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 786 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 773 | $152 | $152 |
| G0008 | Administration of influenza virus vaccine | 662 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 338 | $80 | $80 |
| 90653 | Influenza vaccine, inactivated | 290 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 70 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 67 | $290 | $290 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 24 | $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 | 13 | $153 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY196 | 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.