LONGS DRUG STORES CALIFORNIA LLC
Community/Retail Pharmacy · HONOLULU, HI
Organization Active NPI 1972546737
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,533 | 5,538 | $473,335 | $456,926 | $456,926 |
| 2023 | 2,169 | 15,589 | $456,346 | $439,546 | $439,546 |
| 2022 | 2,428 | 16,230 | $346,538 | $319,381 | $319,381 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 1,431 | $43 | $43 |
| G0008 | Administration of influenza virus vaccine | 1,160 | $31 | $31 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 1,074 | $147 | $147 |
| 90653 | Influenza vaccine, inactivated | 554 | $82 | $82 |
| 90662 | Influenza vaccine split virus, preservative free | 485 | $81 | $81 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 337 | $143 | $143 |
| G0009 | Administration of pneumococcal vaccine | 178 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 177 | $290 | $290 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 92 | $82 | $82 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 21 | $76 | $76 |
| 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 | 20 | $154 | $154 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHY303 | 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.