LONGS DRUG STORES CALIFORNIA LLC
Pharmacy · HILO, HI
Organization Active NPI 1487948022
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 357 | 1,212 | $102,755 | $99,652 | $99,652 |
| 2023 | 648 | 3,508 | $136,254 | $132,047 | $132,047 |
| 2022 | 556 | 3,548 | $83,094 | $78,254 | $78,254 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 317 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 306 | $151 | $151 |
| G0008 | Administration of influenza virus vaccine | 252 | $31 | $31 |
| 90653 | Influenza vaccine, inactivated | 120 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 111 | $78 | $78 |
| G0009 | Administration of pneumococcal vaccine | 37 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 37 | $291 | $291 |
| 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 | 11 | $151 | $151 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | PHY-902 | HI |
Other Pharmacy providers in Hawaii
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- NPI 1942863972
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- NPI 1588329114
- NPI 1124606611
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.