Longs Drug Stores California LLC
Longs Drug Stores California LLC was paid $77K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 17% of everything it billed.
HONOLULU, HI 96817
Next to other Durable Medical Equipment & Medical Supplies providers in Hawaii
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 170 | $2K | |
| 2019 | 39 | $0.00 | |
| 2020 | 417 | $2K | |
| 2021 | 1,344 | $35K | |
| 2022 | 681 | $16K | |
| 2023 | 493 | $12K | |
| 2024incomplete | 456 | $10K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 17% | 1,232 | 1,194 | $13K |
| 0012A | 15% | 313 | 313 | $12K | |
| 0064A | 14% | 291 | 291 | $11K | |
| 0011A | 13% | 299 | 299 | $10K | |
| 90686 | 11% | 519 | 508 | $9K | |
| 91322 | 10% | 69 | 69 | $8K | |
| 90674 | 7.4% | 246 | 245 | $6K | |
| 0134A | 5.5% | 115 | 115 | $4K | |
| 90480 | 3.4% | 69 | 69 | $3K | |
| 90661 | 1.6% | 50 | 50 | $1K | |
| 90656 | 1.4% | 82 | 82 | $1K | |
| 90688 | <1% | 12 | 12 | $207.84 |
2 more codes
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.