Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MEDICAL DIAGNOSTIC LABORATORY LLC

NPI: 1023253556 · LA VERNE, CA 91750 · 291U00000X

$12.00M
Total Medicaid Paid
700,472
Total Claims
638,655
Beneficiaries
150
Codes Billed
2018-01
First Month
2024-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 184,080 $2.57M
2019 83,841 $1.11M
2020 68,856 $1.49M
2021 97,161 $2.31M
2022 101,852 $2.54M
2023 133,791 $1.66M
2024 30,891 $318K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0003 Cov-19 amp prb hgh thruput 42,319 24,846 $2.90M
87491 48,912 47,271 $1.43M
87591 48,751 47,118 $1.43M
G2023 Specimen collect covid-19 35,982 21,478 $685K
87389 33,686 32,700 $657K
80307 8,857 8,199 $425K
87798 2,404 2,198 $396K
80061 34,439 33,492 $296K
88142 15,761 15,314 $272K
82306 14,509 14,014 $254K
84443 23,583 22,700 $245K
80053 36,607 34,642 $243K
85025 46,272 43,026 $233K
87633 658 587 $219K
83036 31,665 30,817 $210K
80055 5,790 5,790 $187K
86592 39,707 38,930 $146K
U0005 Infec agen detec ampli probe 10,345 7,140 $116K
87624 3,370 3,171 $99K
U0002 Covid-19 lab test non-cdc 969 724 $73K
84702 5,817 3,911 $69K
81001 19,724 18,991 $58K
87086 10,400 9,859 $57K
84153 5,500 5,355 $56K
87077 7,150 6,816 $53K
84439 8,682 8,411 $52K
84436 7,845 7,674 $48K
86481 798 793 $47K
87186 5,373 5,107 $44K
80074 1,211 1,194 $36K
82746 3,983 3,911 $34K
84480 3,059 3,019 $30K
86038 2,997 2,943 $24K
88305 680 599 $24K
80050 2,329 2,317 $24K
86803 2,082 2,060 $22K
82043 6,569 6,475 $22K
86762 1,944 1,752 $22K
82951 2,101 1,931 $21K
87631 401 375 $21K
87635 498 460 $20K
87502 315 247 $20K
86376 1,624 1,618 $20K
80048 4,084 3,727 $20K
87653 951 944 $19K
86635 990 950 $19K
87481 744 737 $19K
86706 2,322 2,309 $19K
84403 908 906 $18K
83735 3,894 3,680 $17K
87340 2,146 2,114 $17K
84550 6,896 6,595 $17K
87500 700 696 $16K
84479 3,732 3,639 $16K
87640 687 683 $16K
87486 628 541 $16K
82570 5,566 5,481 $16K
82607 3,930 3,749 $16K
80076 3,007 2,944 $14K
82950 3,839 3,649 $14K
82728 1,736 1,702 $14K
86431 3,630 3,572 $14K
87498 465 354 $14K
87581 573 492 $14K
87081 2,621 2,414 $13K
86780 1,258 1,241 $13K
84681 752 750 $13K
83540 3,465 3,377 $13K
83550 2,491 2,451 $13K
87505 278 277 $12K
84270 652 652 $11K
85651 5,058 4,778 $10K
86696 610 607 $10K
85730 2,381 2,312 $10K
86141 1,173 1,135 $10K
80164 1,032 897 $10K
84481 940 932 $9K
87634 164 132 $8K
86235 70 70 $8K
87070 1,207 1,178 $8K
85610 3,357 2,996 $8K
82378 1,030 985 $7K
87184 1,785 1,719 $7K
86140 1,833 1,726 $7K
86695 606 603 $7K
82947 2,292 2,030 $7K
83880 1,084 993 $6K
87536 88 88 $6K
86677 505 500 $6K
86301 470 467 $6K
86703 470 470 $6K
P9604 One-way allow prorated trip 2,829 2,189 $5K
87210 1,272 1,267 $4K
85044 1,808 1,785 $4K
84144 219 218 $4K
86060 613 613 $3K
86708 505 497 $3K
83525 344 343 $3K
84100 977 939 $3K
86480 68 66 $3K
36415 7,367 6,157 $3K
88312 313 283 $3K
86171 269 268 $2K
82670 92 92 $2K
86704 361 353 $2K
82977 481 464 $2K
88313 313 283 $2K
86901 716 712 $2K
83690 595 567 $2K
86850 674 674 $1K
86900 651 651 $1K
86787 128 128 $1K
82150 311 307 $1K
P9603 One-way allow prorated miles 663 527 $1K
83655 108 107 $1K
86735 103 103 $1K
82272 439 439 $1K
86225 105 105 $1K
86765 102 102 $1K
82270 441 437 $1K
82465 218 216 $710.80
87541 24 16 $673.68
81025 227 227 $627.62
83970 24 24 $618.82
86694 64 64 $617.36
84146 80 78 $560.53
86331 93 93 $548.70
82248 269 268 $459.54
85018 195 194 $397.56
85014 176 175 $372.07
82105 159 157 $355.97
86304 53 53 $271.53
82040 74 74 $260.67
83002 25 25 $250.77
82952 78 78 $245.70
86689 14 14 $242.21
86800 17 17 $227.24
82785 15 15 $220.53
83001 13 13 $195.96
84703 23 23 $142.12
80156 13 13 $125.78
85027 20 20 $113.00
82550 52 50 $100.47
84156 29 28 $87.45
86200 12 12 $70.93
87661 235 234 $61.08
P9011 Blood split unit 26 26 $60.34
83615 211 180 $20.22
83090 214 189 $0.00
88175 184 184 $0.00