Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Longs Drug Stores California LLC

Longs Drug Stores California LLC was paid $33K by Medicaid between Aug 2018 and Nov 2024, across 14 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 20% of everything it billed.

33Billing provider infoLONGS DRUG STORES CALIFORNIA LLC
HILO, HI 96720
33aNPI1487948022assigned 05/31/2011
28Total paid$33K
24GClaims1,685
24DCodes billed14
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Hawaii

Rank by total paid#50 of 123
Median peer was paid$20K
This provider vs. median1.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018274$3K
2019148$1K
2020184$2K
2021537$12K
2022192$4K
2023144$4K
2024incomplete206$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 20% 638 631 $7K
90686 17% 350 350 $6K
91322 16% 51 51 $5K
0064A 11% 98 98 $4K
0012A 11% 99 99 $4K
0011A 7.4% 67 67 $2K
90674 7.2% 99 99 $2K
90480 5.9% 51 51 $2K
0134A 1.6% 12 12 $519.84
90656 1.3% 28 28 $445.80
90661 1.3% 23 23 $418.92
S9430 Pharmacy compounding and dispensing services 0% 124 110 $0.00
2 more codes
90685 0% 30 $0.00
90620 0% 15 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCOLBERT, SUSAN (SR. DIRECTOR, PAYER RELATIONS)
Same official

Other billing entities under COLBERT, SUSAN

Full network →
ProviderLocationPaid
Montana CVS Pharmacy LLCAnaconda, MT$15K
Wisconsin CVS Pharmacy LLCAppleton, WI$13K
Wisconsin CVS Pharmacy LLCGreen Bay, WI$10K
Wisconsin CVS Pharmacy LLCMilwaukee, WI$5K
American Drug Stores Delaware LLCFargo, ND$3K
Wisconsin CVS Pharmacy LLCWauwatosa, WI$3K
Wisconsin CVS Pharmacy LLCKenosha, WI$3K
Wisconsin CVS Pharmacy LLCCudahy, WI$2K
Wisconsin CVS Pharmacy LLCJanesville, WI$938.31
CVS Pharmacy, INC.Big Spring, TX$900.03
Garfield Beach CVS, L.L.C.Redding, CA$493.69
Hook-Superx LLCTerre Haute, IN$424.35
Wisconsin CVS Pharmacy LLCGreen Bay, WI$310.51
Garfield Beach CVS LLCMission Hills, CA$301.55
Garfield Beach CVS LLCSand City, CA$210.35
Garfield Beach CVS LLCLos Angeles, CA$173.03
Garfield Beach CVS LLCGardena, CA$173.03
Arizona CVS Stores LLCTucson, AZ$118.58
Garfield Beach CVS LLCBurbank, CA$0.00
Garfield Beach CVS LLCSan Jose, CA$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.