Medicaid Provider Spending

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

SOUTHWEST DIRECT DIAGNOSTIC LABORATORY LLC

NPI: 1023631579 · RICHLAND HILLS, TX 76118 · Clinical Medical Laboratory · NPI assigned 05/19/2020

$63K
Total Medicaid Paid
15,032
Total Claims
7,089
Beneficiaries
28
Codes Billed
2021-07
First Month
2023-07
Last Month

Provider Details

Authorized OfficialSYED, MANSOOR ALI (OWNER)
NPI Enumeration Date05/19/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 3,278 $16K
2022 10,714 $46K
2023 1,040 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 2,822 830 $45K
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 2,802 829 $14K
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source 2,020 570 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 904 630 $95.97
80053 Comprehensive metabolic panel 860 607 $80.96
83036 Hemoglobin; glycosylated (A1C) 287 211 $40.39
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 139 115 $31.28
87086 Culture, bacterial; quantitative colony count, urine 183 134 $29.04
80061 Lipid panel 262 212 $25.08
81001 214 164 $15.16
80048 Basic metabolic panel (calcium, ionized) 87 55 $13.50
84443 Thyroid stimulating hormone (TSH) 282 222 $10.08
87500 49 45 $0.00
87640 49 45 $0.00
36415 Collection of venous blood by venipuncture 1,580 984 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 49 45 $0.00
83735 17 14 $0.00
84134 17 12 $0.00
82607 13 12 $0.00
82746 15 12 $0.00
87481 49 45 $0.00
87563 49 45 $0.00
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 2,101 1,085 $0.00
87641 49 45 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 49 45 $0.00
87653 49 45 $0.00
84100 14 13 $0.00
84439 21 18 $0.00