Medicaid Provider Spending

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

LONGS DRUG STORES CALIFORNIA LLC

NPI: 1346282167 · WAHIAWA, HI 96786 · 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

$90K
Total Medicaid Paid
3,089
Total Claims
3,053
Beneficiaries
16
Codes Billed
2018-09
First Month
2024-11
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 27 $421.14
2019 68 $626.99
2020 145 $1K
2021 1,976 $62K
2022 468 $13K
2023 192 $6K
2024 213 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 742 742 $28K
0001A 676 676 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 634 619 $7K
91320 67 67 $6K
90686 295 294 $5K
0004A 118 118 $4K
0054A 92 92 $4K
0072A 84 84 $3K
0071A 79 79 $3K
90480 67 67 $3K
0124A 52 52 $2K
90674 56 56 $1K
90661 25 25 $802.93
90656 30 30 $311.70
90472 Immunization administration, each additional vaccine (list separately) 16 13 $79.36
S9430 Pharmacy compounding and dispensing services 56 39 $0.00