Medicaid Provider Spending

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

GRAND TETON DIAGNOSTICS CORP

NPI: 1023880861 · RICHARDSON, TX 75080 · Clinical Medical Laboratory · NPI assigned 10/25/2023

$5K
Total Medicaid Paid
5,735
Total Claims
5,620
Beneficiaries
16
Codes Billed
2024-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPETERSON, JUSTIN (CEO)
NPI Enumeration Date10/25/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 5,735 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 751 665 $2K
87150 424 419 $1K
87481 447 441 $336.88
87631 293 293 $217.74
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 294 294 $191.72
87652 396 390 $163.68
87634 294 294 $148.45
87500 396 390 $137.56
87641 396 390 $137.56
87529 294 294 $131.49
87541 291 291 $74.21
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 289 289 $74.21
87486 292 292 $74.21
87581 292 292 $74.21
87498 294 294 $74.21
87640 292 292 $74.20