Medicaid Provider Spending

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

LONGS DRUG STORES CALIFORNIA LLC

NPI: 1366941064 · WAIANAE, HI 96792 · 332B00000X

$48K
Total Medicaid Paid
1,856
Total Claims
1,775
Beneficiaries
11
Codes Billed
2019-07
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 56 $0.00
2020 122 $0.00
2021 1,273 $39K
2022 364 $9K
2023 41 $660.42

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 476 476 $18K
0001A 473 473 $16K
90471 324 316 $3K
0004A 72 72 $3K
90686 157 155 $2K
90674 106 82 $2K
0072A 30 30 $1K
0071A 29 29 $1K
0054A 24 24 $953.04
0124A 31 31 $823.08
S9430 Pharmacy comp/disp serv 134 87 $0.00