Medicaid Provider Spending

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

LONGS DRUG STORES CALIFORNIA LLC

NPI: 1174566491 · KANEOHE, HI 96744 · 332B00000X

$11K
Total Medicaid Paid
420
Total Claims
407
Beneficiaries
8
Codes Billed
2020-08
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 39 $381.18
2021 142 $4K
2022 115 $2K
2023 93 $3K
2024 31 $757.16

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0064A 77 77 $3K
91322 17 17 $2K
90471 197 187 $2K
90480 32 32 $1K
0012A 20 20 $873.60
90686 46 43 $763.62
0134A 13 13 $519.84
0011A 18 18 $492.10