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NPI 1609819911 · Kihei, HI · Community/Retail Pharmacy
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Longs Drug Stores California LLC is a community/retail pharmacy provider located in Kihei, Hawaii. This profile covers 9 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Longs Drug Stores California LLC |
| Address | 1215 S Kihei Rd |
| City | Kihei |
| State | HI |
| ZIP | 96753 |
| Taxonomy | Community/Retail Pharmacy |
| NPI Enumerated | June 14, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $113.7K |
| Medicaid | $7.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 91322 | This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL. | 260 | $140 | $36.6K |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 1,820 | $10 | $20K |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 260 | $40 | $11K |
| 90662 | This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection… | 150 | $70 | $10.9K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 150 | $70 | $10.9K |
| 90677 | This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the… | 40 | $280 | $9.8K |
| G0008 | Administration of influenza virus vaccine | 310 | $30 | $9.5K |
| 0134A | N/A | 110 | $40 | $4.6K |
| G0009 | Administration of pneumococcal vaccine | 30 | $10 | $450 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0064A | N/A | 80 | $40 | $2.8K |
| 91320 | This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL. | 20 | $100 | $1.9K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 90 | $10 | $880 |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 20 | $40 | $700 |
| 0012A | N/A | 20 | $40 | $530 |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 30 | $20 | $510 |
How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Hawaii median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 139 | 230 | 140 | $20 | $16.1K |
| 91320 | This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL. | 14 | 20 | 30 | $120 | $12.1K |
| 0012A | N/A | 79 | 90 | 70 | $30 | $5.6K |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 138 | 180 | 120 | $10 | $4.7K |
| 0064A | N/A | 43 | 100 | 60 | $30 | $3.2K |
| 90480 | The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19. | 48 | 60 | 50 | $30 | $2.8K |
Other providers in the same ZIP code as Longs Drug Stores California LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Cally L. Adams, Dds, LLC | HI | Pediatric Dentistry | $0 | $2.6M |
| Pacific Island Consulting LLC | HI | Community/Behavioral Health Agency | $0 | $607.6K |
| South Shore Physical Therapy & Sportsmedicine, Inc | HI | Physical Therapy Clinic/Center | $0 | $498.7K |
| Bocha, LLC | HI | Developmentally Disabled Services Day Training Agency | $0 | $406.8K |
| Amy Reisenauer | HI | Dermatopathology Physician | $389K | $0 |
| Maui Pediatric Dentistry | HI | Pediatric Dentistry | $0 | $303.1K |
| N B Murthi Md PC | HI | Psychiatry Physician | $0 | $240.4K |
| Kihei-wailea Medical Center. LLC | HI | Specialist | $0 | $175.1K |
| Heather Bejenaru | HI | Family Medicine Physician | $172.8K | $0 |
| George M Martin Md, Inc | HI | Specialist | $0 | $152.6K |
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