LONGS DRUG STORES CALIFORNIA LLC
Community/Retail Pharmacy · HONOLULU, HI
Organization Active NPI 1356385793
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,409 | 4,878 | $413,490 | $401,642 | $401,642 |
| 2023 | 2,396 | 15,021 | $492,100 | $473,270 | $473,270 |
| 2022 | 2,673 | 18,381 | $388,996 | $360,104 | $360,104 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 1,258 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 1,235 | $152 | $152 |
| G0008 | Administration of influenza virus vaccine | 1,036 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 559 | $80 | $80 |
| 90653 | Influenza vaccine, inactivated | 418 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 145 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 145 | $290 | $290 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 24 | $79 | $79 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 19 | $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 | 16 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY286 | 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.