Medicaid Provider Spending

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

LONGS DRUG STORES CALIFORNIA LLC

NPI: 1407898232 · PEARL CITY, HI 96782 · 332B00000X

$32K
Total Medicaid Paid
1,461
Total Claims
1,422
Beneficiaries
13
Codes Billed
2018-09
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 99 $1K
2019 38 $121.04
2020 99 $819.25
2021 478 $10K
2022 324 $7K
2023 275 $9K
2024 148 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 53 52 $6K
90471 580 563 $6K
90686 290 284 $5K
0064A 122 122 $4K
90480 54 53 $2K
90674 81 80 $2K
0012A 53 53 $2K
0011A 56 56 $2K
0134A 41 41 $2K
0031A 13 13 $524.16
90656 31 31 $511.35
90661 14 14 $453.83
S9430 Pharmacy comp/disp serv 73 60 $0.00