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 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/03/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more

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

Provider Details

Authorized OfficialCOLBERT, SUSAN (DIRECTOR PAYER RELATIONS)
NPI Enumeration Date06/03/2010

Related Entities

Other providers sharing the same authorized official: COLBERT, SUSAN

ProviderCityStateTotal Paid
MONTANA CVS PHARMACY LLC ANACONDA MT $15K
WISCONSIN CVS PHARMACY LLC APPLETON WI $13K
WISCONSIN CVS PHARMACY LLC GREEN BAY WI $10K
WISCONSIN CVS PHARMACY LLC MILWAUKEE WI $5K
AMERICAN DRUG STORES DELAWARE LLC FARGO ND $3K
WISCONSIN CVS PHARMACY LLC WAUWATOSA WI $3K
WISCONSIN CVS PHARMACY LLC KENOSHA WI $3K
WISCONSIN CVS PHARMACY LLC CUDAHY WI $2K
WISCONSIN CVS PHARMACY LLC JANESVILLE WI $938.31
CVS PHARMACY, INC. BIG SPRING TX $900.03
GARFIELD BEACH CVS, L.L.C. REDDING CA $493.69
HOOK-SUPERX LLC TERRE HAUTE IN $424.35
WISCONSIN CVS PHARMACY LLC GREEN BAY WI $310.51
GARFIELD BEACH CVS LLC MISSION HILLS CA $301.55
GARFIELD BEACH CVS LLC SAND CITY CA $210.35
GARFIELD BEACH CVS LLC LOS ANGELES CA $173.03
GARFIELD BEACH CVS LLC GARDENA CA $173.03
ARIZONA CVS STORES LLC TUCSON AZ $118.58
GARFIELD BEACH CVS LLC BURBANK CA $0.00
GARFIELD BEACH CVS LLC SAN JOSE CA $0.00

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 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 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 compounding and dispensing services 38 32 $0.00