Medicaid Provider Spending

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

LONGS DRUG STORES CALIFORNIA LLC

NPI: 1770525503 · EWA BEACH, HI 96706 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/13/2006

$29K
Total Medicaid Paid
1,477
Total Claims
1,437
Beneficiaries
10
Codes Billed
2018-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (DIRECTOR PAYER RELATIONS)
NPI Enumeration Date06/13/2006

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
2018 44 $561.21
2019 36 $0.00
2020 108 $1K
2021 560 $12K
2022 335 $6K
2023 124 $2K
2024 270 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 634 604 $7K
90686 253 250 $4K
0012A 130 130 $4K
0064A 95 95 $3K
0011A 108 108 $3K
91322 25 25 $3K
90674 70 69 $1K
90480 37 37 $1K
90656 73 73 $1K
S9430 Pharmacy compounding and dispensing services 52 46 $0.00