Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LONGS DRUG STORES CALIFORNIA LLC

NPI: 1609819911 · KIHEI, HI 96753 · Pharmacy · NPI assigned 06/14/2006

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

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

$7K
Total Medicaid Paid
248
Total Claims
244
Beneficiaries
6
Codes Billed
2020-09
First Month
2024-09
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (DIRECTOR PAYER RELATIONS)
NPI Enumeration Date06/14/2006

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
2020 29 $436.84
2021 110 $2K
2022 53 $2K
2023 18 $192.40
2024 38 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0064A 75 75 $3K
91320 19 19 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 88 84 $886.64
90480 19 19 $698.88
0012A 15 15 $524.16
90686 32 32 $522.06