LONGS DRUG STORES CALIFORNIA LLC
Community/Retail Pharmacy · WAIPAHU, HI
Organization Active NPI 1437191251
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 477 | 1,572 | $128,085 | $124,295 | $124,295 |
| 2023 | 883 | 4,990 | $168,614 | $163,379 | $163,379 |
| 2022 | 794 | 3,314 | $92,773 | $84,620 | $84,620 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 383 | $31 | $31 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 360 | $151 | $151 |
| 90480 | Admn sarscov2 vacc 1 dose | 360 | $40 | $40 |
| 90662 | Influenza vaccine split virus, preservative free | 277 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 48 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 43 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 41 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 32 | $80 | $80 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 11 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY735 | 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.