LONGS DRUG STORES CALIFORNIA LLC
Pharmacy · KAILUA KONA, HI
Organization Active NPI 1669607784
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 238 | 762 | $63,695 | $61,818 | $61,818 |
| 2023 | 392 | 1,285 | $76,834 | $73,716 | $73,716 |
| 2022 | 579 | 1,859 | $61,089 | $54,137 | $54,137 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 209 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 207 | $150 | $150 |
| G0008 | Administration of influenza virus vaccine | 157 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 73 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 72 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 15 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 15 | $34 | $34 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | PHY-898 | HI |
Other Pharmacy providers in Hawaii
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.