Medicaid Provider Spending

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

LONGS DRUG STORES CALIFORNIA LLC

NPI: 1871700914 · KEAAU, HI 96749 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/17/2007

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

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

$123K
Total Medicaid Paid
4,004
Total Claims
3,975
Beneficiaries
19
Codes Billed
2018-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (DIRECTOR PAYER RELATIONS)
NPI Enumeration Date05/17/2007

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 42 $158.72
2019 62 $0.00
2020 164 $2K
2021 1,812 $61K
2022 1,127 $33K
2023 426 $14K
2024 371 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 705 705 $27K
0001A 680 680 $24K
91320 143 143 $13K
0004A 301 301 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 833 810 $9K
0071A 166 166 $7K
0072A 158 158 $7K
90480 144 144 $6K
90686 267 265 $5K
0054A 121 121 $4K
90674 165 165 $4K
0124A 95 95 $4K
90656 47 47 $734.85
90661 31 31 $593.47
0052A 16 16 $563.16
0074A 13 13 $563.16
90472 Immunization administration, each additional vaccine (list separately) 31 31 $196.24
90620 14 14 $0.00
S9430 Pharmacy compounding and dispensing services 74 70 $0.00