Medicaid Provider Spending

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

LONGS DRUG STORES CALIFORNIA LLC

NPI: 1134162902 · HONOLULU, HI 96813 · Pharmacy · NPI assigned 06/13/2006

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

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

$122K
Total Medicaid Paid
4,567
Total Claims
4,487
Beneficiaries
17
Codes Billed
2018-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (DIRECTOR PAYER RELATIONS)
NPI Enumeration Date06/13/2006

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 176 $3K
2019 104 $167.28
2020 332 $3K
2021 1,082 $26K
2022 881 $20K
2023 997 $33K
2024 995 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 226 226 $27K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,879 1,819 $20K
90750 76 76 $12K
0064A 320 320 $11K
90686 631 622 $11K
90480 249 249 $10K
0012A 218 218 $8K
90674 256 256 $7K
0011A 210 210 $6K
0134A 86 86 $4K
90673 40 40 $3K
90661 69 69 $2K
90656 100 100 $2K
90472 Immunization administration, each additional vaccine (list separately) 46 44 $238.08
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 25 24 $0.00
90620 12 12 $0.00
S9430 Pharmacy compounding and dispensing services 124 116 $0.00