Medicaid Provider Spending

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

LONGS DRUG STORES CALIFORNIA L.L.C.

NPI: 1104342435 · HONOLULU, HI 96814 · Durable Medical Equipment & Medical Supplies · NPI assigned 08/18/2017

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

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

$37K
Total Medicaid Paid
1,398
Total Claims
1,348
Beneficiaries
13
Codes Billed
2018-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (SR. DIRECTOR PAYER RELATIONS)
NPI Enumeration Date08/18/2017

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 12 $133.60
2019 13 $0.00
2020 213 $2K
2021 307 $7K
2022 328 $9K
2023 259 $9K
2024 266 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 74 74 $10K
0064A 184 184 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 521 511 $6K
90686 261 248 $4K
90480 74 74 $3K
0134A 64 64 $3K
90661 48 48 $1K
90674 44 44 $1K
0011A 19 19 $786.24
0012A 17 17 $698.88
90656 16 16 $357.00
90472 Immunization administration, each additional vaccine (list separately) 17 15 $83.36
S9430 Pharmacy compounding and dispensing services 59 34 $0.00