LONGS DRUG STORES CALIFORNIA LLC
Community/Retail Pharmacy · HILO, HI
Organization Active NPI 1538103973
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 875 | 3,192 | $269,485 | $261,287 | $261,287 |
| 2023 | 1,195 | 6,506 | $250,541 | $241,282 | $241,282 |
| 2022 | 1,414 | 7,630 | $186,723 | $172,102 | $172,102 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 807 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 805 | $151 | $151 |
| G0008 | Administration of influenza virus vaccine | 691 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 445 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 204 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 98 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 98 | $291 | $291 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 23 | $36 | $36 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 14 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY172 | 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.