Supplier
Longs Drug Stores California LLC
Longs Drug Stores California LLC was paid $122K by Medicaid between Sep 2018 and Dec 2024, across 17 billing codes. Its largest line is 91322, — 22% of everything it billed.
33Billing provider infoLONGS DRUG STORES CALIFORNIA LLC
HONOLULU, HI 96813
HONOLULU, HI 96813
33aNPI1134162902assigned 06/13/2006
33bProvider typePharmacy
28Total paid$122K
24GClaims4,567
24DCodes billed17
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Pharmacy providers in Hawaii
Rank by total paid#3 of 28
Median peer was paid$2K
This provider vs. median59×
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 | 176 | $3K | |
| 2019 | 104 | $167.28 | |
| 2020 | 332 | $3K | |
| 2021 | 1,082 | $26K | |
| 2022 | 881 | $20K | |
| 2023 | 997 | $33K | |
| 2024incomplete | 995 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 91322 | 22% | 226 | 226 | $27K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 16% | 1,879 | 1,819 | $20K |
| 90750 | 9.9% | 76 | 76 | $12K | |
| 0064A | 9.4% | 320 | 320 | $11K | |
| 90686 | 9.1% | 631 | 622 | $11K | |
| 90480 | 7.9% | 249 | 249 | $10K | |
| 0012A | 6.4% | 218 | 218 | $8K | |
| 90674 | 5.7% | 256 | 256 | $7K | |
| 0011A | 4.9% | 210 | 210 | $6K | |
| 0134A | 2.9% | 86 | 86 | $4K | |
| 90673 | 2.3% | 40 | 40 | $3K | |
| 90661 | 1.6% | 69 | 69 | $2K |
5 more codes
| 90656 | 1.4% | 100 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 46 | $238.08 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 0% | 25 | $0.00 |
| 90620 | 0% | 12 | $0.00 | |
| S9430 | Pharmacy compounding and dispensing services | 0% | 124 | $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 (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.