Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › PEARL CITY › LONGS DRUG STORES CALIFORNIA, L.L.C.

LONGS DRUG STORES CALIFORNIA, L.L.C.

NPI: 1023338720 · PEARL CITY, HI 96782 · 332B00000X

$30K
Total Medicaid Paid
1,358
Total Claims
1,344
Beneficiaries
10
Codes Billed
2018-09
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 44 $712.68
2019 19 $0.00
2020 81 $618.78
2021 788 $19K
2022 255 $6K
2023 132 $4K
2024 39 $413.92

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 293 293 $9K
0011A 274 274 $5K
90471 348 342 $4K
90686 200 199 $3K
0064A 82 82 $3K
0134A 47 47 $2K
91322 13 13 $2K
90674 50 49 $1K
90480 13 13 $567.84
S9430 Pharmacy comp/disp serv 38 32 $0.00