Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Medical Diagnostic Laboratory LLC

Medical Diagnostic Laboratory LLC was paid $12.00M by Medicaid between Jan 2018 and Mar 2024, across 150 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 24% of everything it billed.

33Billing provider infoMEDICAL DIAGNOSTIC LABORATORY LLC
LA VERNE, CA 91750
33aNPI1023253556assigned 12/12/2008
28Total paid$12.00M
24GClaims700,472
24DCodes billed150
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#61 of 561
Median peer was paid$222K
This provider vs. median54×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018184,080$2.57M
201983,841$1.11M
202068,856$1.49M
202197,161$2.31M
2022101,852$2.54M
2023133,791$1.66M
2024incomplete30,891$318K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 24% 42,319 24,846 $2.90M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 12% 48,912 47,271 $1.43M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 12% 48,751 47,118 $1.43M
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 5.7% 35,982 21,478 $685K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 5.5% 33,686 32,700 $657K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3.5% 8,857 8,199 $425K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 3.3% 2,404 2,198 $396K
80061 Lipid panel 2.5% 34,439 33,492 $296K
88142 2.3% 15,761 15,314 $272K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2.1% 14,509 14,014 $254K
84443 Thyroid stimulating hormone (TSH) 2.0% 23,583 22,700 $245K
80053 Comprehensive metabolic panel 2.0% 36,607 34,642 $243K
138 more codes
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.9% 46,272 $233K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1.8% 658 $219K
83036 Hemoglobin; glycosylated (A1C) 1.8% 31,665 $210K
80055 1.6% 5,790 $187K
86592 1.2% 39,707 $146K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 10,345 $116K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 3,370 $99K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 969 $73K
84702 <1% 5,817 $69K
81001 <1% 19,724 $58K
87086 Culture, bacterial; quantitative colony count, urine <1% 10,400 $57K
84153 <1% 5,500 $56K
87077 <1% 7,150 $53K
84439 <1% 8,682 $52K
84436 <1% 7,845 $48K
86481 <1% 798 $47K
87186 <1% 5,373 $44K
80074 <1% 1,211 $36K
82746 <1% 3,983 $34K
84480 <1% 3,059 $30K
86038 <1% 2,997 $24K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 680 $24K
80050 General health panel <1% 2,329 $24K
86803 <1% 2,082 $22K
82043 <1% 6,569 $22K
86762 <1% 1,944 $22K
82951 <1% 2,101 $21K
87631 <1% 401 $21K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 498 $20K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 315 $20K
86376 <1% 1,624 $20K
80048 Basic metabolic panel (calcium, ionized) <1% 4,084 $20K
87653 <1% 951 $19K
86635 <1% 990 $19K
87481 <1% 744 $19K
86706 <1% 2,322 $19K
84403 <1% 908 $18K
83735 <1% 3,894 $17K
87340 <1% 2,146 $17K
84550 <1% 6,896 $17K
87500 <1% 700 $16K
84479 <1% 3,732 $16K
87640 <1% 687 $16K
87486 <1% 628 $16K
82570 <1% 5,566 $16K
82607 <1% 3,930 $16K
80076 <1% 3,007 $14K
82950 <1% 3,839 $14K
82728 <1% 1,736 $14K
86431 <1% 3,630 $14K
87498 <1% 465 $14K
87581 <1% 573 $14K
87081 <1% 2,621 $13K
86780 <1% 1,258 $13K
84681 <1% 752 $13K
83540 <1% 3,465 $13K
83550 <1% 2,491 $13K
87505 <1% 278 $12K
84270 <1% 652 $11K
85651 <1% 5,058 $10K
86696 <1% 610 $10K
85730 <1% 2,381 $10K
86141 <1% 1,173 $10K
80164 <1% 1,032 $10K
84481 <1% 940 $9K
87634 <1% 164 $8K
86235 <1% 70 $8K
87070 <1% 1,207 $8K
85610 <1% 3,357 $8K
82378 <1% 1,030 $7K
87184 <1% 1,785 $7K
86140 <1% 1,833 $7K
86695 <1% 606 $7K
82947 <1% 2,292 $7K
83880 <1% 1,084 $6K
87536 <1% 88 $6K
86677 <1% 505 $6K
86301 <1% 470 $6K
86703 <1% 470 $6K
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge <1% 2,829 $5K
87210 <1% 1,272 $4K
85044 <1% 1,808 $4K
84144 <1% 219 $4K
86060 <1% 613 $3K
86708 <1% 505 $3K
83525 <1% 344 $3K
84100 <1% 977 $3K
86480 <1% 68 $3K
36415 Collection of venous blood by venipuncture <1% 7,367 $3K
88312 <1% 313 $3K
86171 <1% 269 $2K
82670 <1% 92 $2K
86704 <1% 361 $2K
82977 <1% 481 $2K
88313 <1% 313 $2K
86901 <1% 716 $2K
83690 <1% 595 $2K
86850 <1% 674 $1K
86900 <1% 651 $1K
86787 <1% 128 $1K
82150 <1% 311 $1K
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled <1% 663 $1K
83655 <1% 108 $1K
86735 <1% 103 $1K
82272 <1% 439 $1K
86225 <1% 105 $1K
86765 <1% 102 $1K
82270 <1% 441 $1K
82465 <1% 218 $710.80
87541 <1% 24 $673.68
81025 <1% 227 $627.62
83970 <1% 24 $618.82
86694 <1% 64 $617.36
84146 <1% 80 $560.53
86331 <1% 93 $548.70
82248 <1% 269 $459.54
85018 <1% 195 $397.56
85014 <1% 176 $372.07
82105 <1% 159 $355.97
86304 <1% 53 $271.53
82040 <1% 74 $260.67
83002 <1% 25 $250.77
82952 <1% 78 $245.70
86689 <1% 14 $242.21
86800 <1% 17 $227.24
82785 <1% 15 $220.53
83001 <1% 13 $195.96
84703 <1% 23 $142.12
80156 <1% 13 $125.78
85027 <1% 20 $113.00
82550 <1% 52 $100.47
84156 <1% 29 $87.45
86200 <1% 12 $70.93
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 235 $61.08
P9011 Blood, split unit <1% 26 $60.34
83615 <1% 211 $20.22
83090 0% 214 $0.00
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 0% 184 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMENDEZ, FAUSTO (MANAGING MEMBER)
Same official

Other billing entities under MENDEZ, FAUSTO

Full network →
ProviderLocationPaid
Advanced Medical Xray INCLa Verne, CA$64K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.