LONGS DRUG STORES CALIFORNIA LLC

NPI: 1487948022 · HILO, HI 96720 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/31/2011

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$33K

Total Medicaid Paid

1,685

Total Claims

1,664

Beneficiaries

Codes Billed

2018-08

First Month

2024-11

Last Month

Provider Details

Authorized Official	COLBERT, SUSAN (SR. DIRECTOR, PAYER RELATIONS)
NPI Enumeration Date	05/31/2011

Other providers sharing the same authorized official: COLBERT, SUSAN

Provider	City	State	Total 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

Code	Description	Claims	Beneficiaries	Total Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	638	631	$7K
90686		350	350	$6K
91322		51	51	$5K
0064A		98	98	$4K
0012A		99	99	$4K
0011A		67	67	$2K
90674		99	99	$2K
90480		51	51	$2K
0134A		12	12	$519.84
90656		28	28	$445.80
90661		23	23	$418.92
S9430	Pharmacy compounding and dispensing services	124	110	$0.00
90685		30	30	$0.00
90620		15	15	$0.00