LONGS DRUG STORES CALIFORNIA LLC
Pharmacy · MILILANI, HI
Organization Active NPI 1992062970
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 789 | 2,642 | $228,123 | $222,089 | $222,089 |
| 2023 | 835 | 5,507 | $162,889 | $156,777 | $156,777 |
| 2022 | 942 | 5,449 | $124,125 | $115,364 | $115,364 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 719 | $150 | $150 |
| 90480 | Admn sarscov2 vacc 1 dose | 719 | $40 | $40 |
| G0008 | Administration of influenza virus vaccine | 511 | $31 | $31 |
| 90662 | Influenza vaccine split virus, preservative free | 387 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 94 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 91 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 89 | $290 | $290 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 16 | $76 | $76 |
| 90661 | Influenza vaccine, trivalent derived from cell cultures | 13 | $36 | $36 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| 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.