PRIVILEGE DX MEDICAL LABORATORIES, INC.
NPI: 1003369968
· TOLUCA LAKE, CA 91602
· 291U00000X
$261K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
35,308 |
$12K |
| 2019 |
3,000 |
$6K |
| 2020 |
11,423 |
$8K |
| 2021 |
12,196 |
$25K |
| 2022 |
25,513 |
$75K |
| 2023 |
44,998 |
$88K |
| 2024 |
86,403 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 85025 |
|
10,349 |
9,921 |
$16K |
| 84443 |
|
9,389 |
9,125 |
$14K |
| 83970 |
|
3,348 |
3,315 |
$13K |
| 80053 |
|
10,191 |
9,771 |
$12K |
| 84481 |
|
8,264 |
8,050 |
$11K |
| 80061 |
|
9,096 |
8,820 |
$11K |
| 82607 |
|
6,469 |
6,278 |
$11K |
| 80074 |
|
3,469 |
3,391 |
$10K |
| 82746 |
|
8,542 |
8,340 |
$10K |
| 83036 |
|
9,397 |
9,125 |
$10K |
| 82728 |
|
7,378 |
7,168 |
$9K |
| 84403 |
|
3,794 |
3,706 |
$8K |
| 82670 |
|
2,870 |
2,837 |
$8K |
| 84144 |
|
3,490 |
3,446 |
$7K |
| 84439 |
|
8,505 |
8,292 |
$6K |
| 84402 |
|
2,509 |
2,479 |
$6K |
| 84153 |
|
3,474 |
3,360 |
$6K |
| 82306 |
|
1,989 |
1,861 |
$5K |
| 83550 |
|
8,700 |
8,451 |
$5K |
| 82627 |
|
2,379 |
2,347 |
$5K |
| 83540 |
|
8,786 |
8,531 |
$5K |
| 83002 |
|
2,232 |
2,199 |
$5K |
| 83735 |
|
7,594 |
7,401 |
$5K |
| 83001 |
|
2,034 |
2,014 |
$5K |
| 84270 |
|
2,371 |
2,339 |
$5K |
| 82378 |
|
2,198 |
2,135 |
$4K |
| 86677 |
|
4,710 |
4,607 |
$4K |
| 83003 |
|
2,363 |
2,332 |
$4K |
| 86235 |
|
2,504 |
2,482 |
$4K |
| 83090 |
|
2,678 |
2,633 |
$3K |
| 84146 |
|
1,292 |
1,276 |
$3K |
| 87633 |
|
842 |
763 |
$3K |
| 86225 |
|
2,781 |
2,713 |
$3K |
| 84550 |
|
7,150 |
6,935 |
$3K |
| 85652 |
|
6,686 |
6,476 |
$3K |
| 86431 |
|
6,456 |
6,272 |
$2K |
| 86038 |
|
2,367 |
2,352 |
$2K |
| 86140 |
|
5,430 |
5,347 |
$2K |
| 84154 |
|
1,596 |
1,562 |
$2K |
| 83690 |
|
3,355 |
3,286 |
$1K |
| 82150 |
|
2,403 |
2,365 |
$1K |
| 82533 |
|
924 |
910 |
$1K |
| 81000 |
|
1,513 |
1,457 |
$909.09 |
| 86003 |
|
550 |
275 |
$836.15 |
| 87798 |
|
842 |
763 |
$662.14 |
| 0099U |
|
160 |
158 |
$605.78 |
| 82043 |
|
295 |
293 |
$594.64 |
| 82977 |
|
1,497 |
1,459 |
$591.87 |
| 82570 |
|
295 |
293 |
$536.20 |
| 84100 |
|
1,573 |
1,562 |
$523.94 |
| 82248 |
|
1,439 |
1,432 |
$454.60 |
| 87507 |
|
254 |
253 |
$411.51 |
| 86063 |
|
1,265 |
1,219 |
$395.15 |
| G0483 |
Drug test def 22+ classes |
311 |
311 |
$359.83 |
| 86141 |
|
1,261 |
1,128 |
$303.09 |
| 87486 |
|
842 |
763 |
$282.44 |
| 87581 |
|
842 |
763 |
$282.32 |
| 85730 |
|
488 |
469 |
$198.42 |
| 82553 |
|
644 |
643 |
$172.19 |
| 80307 |
|
625 |
615 |
$133.44 |
| 85610 |
|
488 |
469 |
$127.30 |
| 82785 |
|
275 |
275 |
$91.89 |
| G0480 |
Drug test def 1-7 classes |
95 |
93 |
$57.56 |
| 86800 |
|
251 |
251 |
$29.56 |
| 86376 |
|
251 |
251 |
$27.06 |
| 83615 |
|
360 |
359 |
$17.16 |
| 80048 |
|
44 |
44 |
$13.54 |
| G0481 |
Drug test def 8-14 classes |
13 |
13 |
$0.00 |
| 0097U |
|
14 |
14 |
$0.00 |