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 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/08/2018

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

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

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

Provider Details

Authorized OfficialCOLBERT, SUSAN (SR. DIRECTOR PAYER RELATIONS)
NPI Enumeration Date02/08/2018

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
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 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 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 compounding and dispensing services 134 87 $0.00