LONGS DRUG STORES CALIFORNIA LLC
Pharmacy · SAN GABRIEL, CA
Organization Active NPI 1417989922
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 507 | 1,542 | $130,365 | $125,430 | $125,430 |
| 2023 | 815 | 4,645 | $133,729 | $126,701 | $126,701 |
| 2022 | 979 | 6,121 | $116,907 | $108,771 | $108,771 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 370 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 326 | $44 | $44 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 325 | $144 | $144 |
| 90662 | Influenza vaccine split virus, preservative free | 232 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 102 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 75 | $32 | $32 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 73 | $291 | $291 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 23 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | PHY49437 | CA |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.