LONGS DRUG STORES CALIFORNIA LLC
Pharmacy · MAKAWAO, HI
Organization Active NPI 1972749414
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 595 | 2,250 | $190,161 | $184,944 | $184,944 |
| 2023 | 957 | 5,776 | $195,604 | $188,939 | $188,939 |
| 2022 | 884 | 4,258 | $118,657 | $109,446 | $109,446 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 565 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 559 | $152 | $152 |
| G0008 | Administration of influenza virus vaccine | 483 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 390 | $81 | $81 |
| G0009 | Administration of pneumococcal vaccine | 77 | $32 | $32 |
| 90653 | Influenza vaccine, inactivated | 70 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 69 | $291 | $291 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 12 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PHY765 | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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.