Medicaid Provider Spending

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

LONGS DRUG STORES CALIFORNIA LLC

NPI: 1255373072 · KAPOLEI, HI 96707 · 332B00000X

$40K
Total Medicaid Paid
1,590
Total Claims
1,564
Beneficiaries
13
Codes Billed
2018-10
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17 $334.16
2019 34 $0.00
2020 84 $981.24
2021 633 $16K
2022 273 $5K
2023 299 $8K
2024 250 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 59 59 $7K
90471 635 617 $7K
90686 312 307 $5K
0011A 118 118 $5K
0064A 116 116 $4K
0012A 102 102 $4K
90480 71 71 $3K
90674 75 75 $2K
90673 15 15 $1K
0134A 12 12 $389.88
90656 27 27 $356.55
90472 14 13 $81.64
S9430 Pharmacy comp/disp serv 34 32 $0.00