LONGS DRUG STORES CALIFORNIA ,L.L.C.
Pharmacy · KAPAA, HI
Organization Active NPI 1790728582
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 490 | 1,682 | $137,392 | $133,739 | $133,739 |
| 2023 | 496 | 1,729 | $125,422 | $120,755 | $120,755 |
| 2022 | 629 | 1,301 | $68,453 | $59,835 | $59,835 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 437 | $40 | $40 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 421 | $152 | $152 |
| G0008 | Administration of influenza virus vaccine | 373 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 219 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 117 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 31 | $29 | $29 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 31 | $289 | $289 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 23 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | PHY-740 | HI |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.