Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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85004

Billing code 85004

HHS publishes no description for this code; it is likely a state-specific local code.

Medicaid paid $912K on code 85004 from 2018 through 2024, to 191 providers — the #4,033 code in the file by dollars.

28Total paid$912K
24GClaims336,373
Paid per claim line$2.71
33Providers billing it191
Box 32 · Location

Where 85004 is billed

  1. CACalifornia
    $145K
  2. NCNorth Carolina
    $100K
  3. MAMassachusetts
    $67K
  4. MSMississippi
    $64K
  5. NJNew Jersey
    $55K
  6. OHOhio
    $39K
  7. PRPuerto Rico
    $39K
  8. SDSouth Dakota
    $35K
  9. MDMaryland
    $34K
  10. NYNew York
    $32K
  11. ALAlabama
    $32K
  12. ILIllinois
    $32K

The largest of 42 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing 85004

#ProviderLocationClaimsPaid on 85004
1 Laboratory Corporation of America Holdings Burlington, NC 21,189 $95K
2 Pomona Valley Hospital Medical Center Pomona, CA 27,273 $60K
3 Spectra Laboratories INC Milpitas, CA 13,379 $56K
4 Hattiesburg Clinic PA Hattiesburg, MS 7,745 $38K
5 Quest Diagnostics Massachusetts LLC Marlborough, MA 23,084 $36K
6 Laboratorio Clinico Jayuya, INC Jayuya, PR 6,322 $35K
7 Quest Diagnostics Incorporated MD Baltimore, MD 6,981 $32K
8 Maimonides Medical Center Brooklyn, NY 36,804 $32K
9 Quest Diagnostics LLC Il Wood Dale, IL 7,818 $30K
10 Quest Diagnostics Incorporated Clifton, NJ 8,763 $26K
11 Orchard Laboratories Corp West Bloomfield, MI 5,680 $25K
12 University of Kentucky Lexington, KY 4,193 $22K
13 Labone LLC Lenexa, KS 4,710 $21K
14 Laboratory Corporation of America Holdings Raritan, NJ 15,234 $20K
15 Sanford Medical Center Sioux Falls, SD 2,764 $20K
16 Laboratory Corporation of America Tampa, FL 5,045 $19K
17 Laboratory Corporation of America Holdings Dublin, OH 5,255 $19K
18 Delta Oncology, INC. Greenwood, MS 4,386 $18K
19 Laboratory Corporation of America Holdings Birmingham, AL 4,525 $17K
20 Associated Clinical Laboratories Erie, PA 2,908 $16K
21 Ivy Creek of Tallapoosa, LLC Dadeville, AL 3,660 $15K
22 Sonora Quest Laboratories LLC Phoenix, AZ 5,733 $14K
23 Harminder S Sethi MD PA Washington, DC 2,355 $12K
24 Burt E Schear MD & Associates INC Oakwood, OH 2,347 $12K
25 Unilab Corporation West Hills, CA 8,270 $12K
26 Quest Diagnostics of Pennsylvania, INC. Pittsburgh, PA 2,454 $9K
27 Northeast Hospital Corporation Beverly, MA 4,396 $8K
28 Spectra East, INC. Rockleigh, NJ 3,901 $8K
29 U S Lab & Radiology LLC Brockton, MA 7,495 $8K
30 Quest Diagnostics Clinical Laboratories INC Miramar, FL 2,337 $8K
31 Dallas County Hospital Perry, IA 521 $7K
32 Winnsboro Medical Clinic Winnsboro, LA 1,348 $7K
33 Laboratory Corporation of America San Diego, CA 4,176 $7K
34 The Commonwealth of Massachusetts Jamaica Plain, MA 2,146 $7K
35 Quest Diagnostics LLC Marlborough, MA 4,527 $7K
36 Labone of Ohio INC Cincinnati, OH 1,420 $6K
37 ST. Mary's Duluth Clinic Health System Duluth, MN 3,412 $6K
38 Quest Diagnostics Clinical Laboratories INC Seattle, WA 1,603 $6K
39 Mitchell Clinic LTD Mitchell, SD 960 $6K
40 Dunes Medical Laboratories Dakota Dunes, SD 1,127 $5K
41 Scott County Community Hospital, INC. Oneida, TN 3,334 $5K
42 Quest Diagnostics Venture LLC Pittsburgh, PA 697 $5K
43 Laboratory Corporation of America Holdings Burlington, NC 849 $4K
44 Quest Diagnostics Clinical Laboratories INC Tucker, GA 1,649 $4K
45 Core Analytics Laboratory, LLC Van Nuys, CA 1,453 $4K
46 Dubuque Internal Medicine PC Dubuque, IA 544 $4K
47 Diagnostic Laboratory of Oklahoma LLC Oklahoma City, OK 655 $4K
48 Quest Diagnostics Clinical Laboratories INC Denver, CO 626 $4K
49 Quest Diagnostics Clinical Laboratories INC Irving, TX 1,508 $4K
50 Laboratory Corporation of America Seattle, WA 754 $3K
51 Simpson Community Healthcare, INC. Mendenhall, MS 689 $3K
52 Laboratory Corporation of America Phoenix, AZ 2,234 $3K
53 Unilab Corporation Sacramento, CA 3,059 $3K
54 Avera Mckennan Sioux Falls, SD 506 $3K
55 Chicago Clinical Laboratories, LTD Northbrook, IL 1,140 $3K
56 Capital City Children and Adolescent Clinic Jackson, MS 415 $2K
57 Urgent Team of Arkansas Physicians, LLC Searcy, AR 582 $2K
58 Alba I. Rivera Torres Santa Isabel, PR 441 $2K
59 Laboratory Corporation of America Houston, TX 863 $2K
60 Fairview Health Services Minneapolis, MN 369 $2K
61 Unm Hospital Albuquerque, NM 276 $2K
62 Kan-Di-Ki LLC Las Vegas, NV 520 $2K
63 Spectra Laboratories INC Southaven, MS 286 $2K
64 Mid Atlantic Pemanente Medical Group Rockville, MD 261 $2K
65 PVCH Clinical Laboratory Medical Group INC Pomona Valley, CA 1,625 $2K
66 Quest Diagnostics Incorporated Las Vegas, NV 1,945 $1K
67 Quest Diagnostics Clinical Laboratories INC Tampa, FL 1,214 $1K
68 Morton Plant Hospital Association, INC. Clearwater, FL 1,061 $1K
69 Shelby County Health Care Corporation Memphis, TN 748 $1K
70 Brown Clinic PLLP Watertown, SD 173 $1K
71 Huntsville Community Hospital, INC. Huntsville, TX 229 $1K
72 Compunet Clinical Laboratories LLC Moraine, OH 382 $1K
73 Leslie S T Fang, MD, PC Boston, MA 280 $1K
74 American Health MW, LLC Cincinnati, OH 213 $998.67
75 Quest Diagnostics Clinical Laboratories INC Norristown, PA 1,150 $860.63
76 Physicians Preferred Laboratory LTD Amarillo, TX 228 $832.13
77 Ut Regional One Physicians INC Memphis, TN 413 $769.89
78 Catholic Health Initiatives-Iowa Corp Des Moines, IA 107 $723.46
79 Orange City Municipal Hospital Orange City, IA 113 $700.08
80 Hattiesburg Clinic PA Petal, MS 160 $651.05
81 Earl Sumbler Memorial Healthcare Center Alexandria, LA 408 $614.74
82 Med-Lake Laboratory, LLC Milledgeville, GA 233 $555.84
83 Topeka Hospital, LLC Topeka, KS 293 $533.11
84 Centers Lab NJ LLC Cedar Knolls, NJ 239 $526.92
85 Broadlawns Medical Center Des Moines, IA 146 $495.27
86 Mid America Clinical Laboratories, LLC Indianapolis, IN 132 $471.42
87 Penobscot Valley Hospital Lincoln, ME 120 $465.89
88 Clinical Pathology Laboratories, INC. Austin, TX 380 $458.74
89 Lab. Clinico Carraizo San Juan, PR 73 $456.73
90 Laboratory Corporation of America Burlington, NC 154 $443.89
91 Kan-Di-Ki LLC North Hollywood, CA 193 $420.51
92 Uhs Ventures INC New Tazewell, TN 286 $404.23
93 Laboratory Corporation of America Dallas, TX 283 $400.72
94 Quest Diagnostics Incorporated Mi Flint, MI 87 $381.54
95 Permanente Medical Group, INC. Richmond, CA 38 $370.00
96 Laboratorio Acropolis INC Manati, PR 52 $362.40
97 Avalon Medical Group Muscle Shoals, AL 217 $335.00
98 United Clinical Laboratories, INC Dubuque, IA 172 $300.37
99 Laboratorio Clinico Metropolis Carolina, PR 124 $298.66
100 Laboratory Corporation of America Knoxville, TN 148 $296.28