Medicaid Provider Spending

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

LONGS DRUG STORES CALIFORNIA LLC

NPI: 1689617854 · KAILUA, HI 96734 · 332B00000X

$14K
Total Medicaid Paid
553
Total Claims
549
Beneficiaries
9
Codes Billed
2020-09
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 79 $926.02
2021 218 $5K
2022 111 $2K
2023 85 $3K
2024 60 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0064A 72 72 $3K
90471 240 237 $3K
91322 15 15 $2K
90686 113 112 $2K
91320 19 19 $2K
90480 35 35 $1K
0011A 32 32 $1K
0012A 15 15 $655.20
90674 12 12 $344.88