Supplier
Longs Drug Stores California L.L.C.
Longs Drug Stores California L.L.C. was paid $37K by Medicaid between Sep 2018 and Nov 2024, across 13 billing codes. Its largest line is 91322, — 27% of everything it billed.
33Billing provider infoLONGS DRUG STORES CALIFORNIA L.L.C.
HONOLULU, HI 96814
HONOLULU, HI 96814
33aNPI1104342435assigned 08/18/2017
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$37K
24GClaims1,398
24DCodes billed13
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Hawaii
Rank by total paid#46 of 123
Median peer was paid$20K
This provider vs. median1.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12 | $133.60 | |
| 2019 | 13 | $0.00 | |
| 2020 | 213 | $2K | |
| 2021 | 307 | $7K | |
| 2022 | 328 | $9K | |
| 2023 | 259 | $9K | |
| 2024incomplete | 266 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 91322 | 27% | 74 | 74 | $10K | |
| 0064A | 18% | 184 | 184 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 16% | 521 | 511 | $6K |
| 90686 | 11% | 261 | 248 | $4K | |
| 90480 | 8.4% | 74 | 74 | $3K | |
| 0134A | 7.6% | 64 | 64 | $3K | |
| 90661 | 3.7% | 48 | 48 | $1K | |
| 90674 | 3.5% | 44 | 44 | $1K | |
| 0011A | 2.1% | 19 | 19 | $786.24 | |
| 0012A | 1.9% | 17 | 17 | $698.88 | |
| 90656 | <1% | 16 | 16 | $357.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 17 | 15 | $83.36 |
1 more codes
| S9430 | Pharmacy compounding and dispensing services | 0% | 59 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCOLBERT, SUSAN (SR. DIRECTOR PAYER RELATIONS)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.