LONGS DRUG STORES CALIFORNIA LLC
Community/Retail Pharmacy · MILILANI TOWN, HI
Organization Active NPI 1528000346
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,865 | 6,566 | $541,383 | $525,625 | $525,625 |
| 2023 | 1,895 | 11,907 | $370,279 | $356,639 | $356,639 |
| 2022 | 2,019 | 13,563 | $310,767 | $292,056 | $292,056 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 1,611 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 1,602 | $152 | $152 |
| G0008 | Administration of influenza virus vaccine | 1,511 | $31 | $31 |
| 90653 | Influenza vaccine, inactivated | 824 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 623 | $80 | $80 |
| G0009 | Administration of pneumococcal vaccine | 161 | $28 | $28 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 156 | $290 | $290 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 27 | $76 | $76 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 19 | $63 | $63 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY407 | 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.