PROMUS DIAGNOSTICS, LLC
NPI: 1033680681
· SOUTHLAKE, TX 76092
· 291U00000X
$277K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,889 |
$3K |
| 2021 |
7,771 |
$212K |
| 2022 |
8,538 |
$61K |
| 2023 |
3,347 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| U0003 |
Cov-19 amp prb hgh thruput |
5,055 |
1,932 |
$234K |
| U0005 |
Infec agen detec ampli probe |
4,272 |
1,680 |
$34K |
| 87798 |
|
1,596 |
1,061 |
$6K |
| 87150 |
|
794 |
597 |
$656.51 |
| G2023 |
Specimen collect covid-19 |
1,189 |
499 |
$564.24 |
| 87801 |
|
803 |
598 |
$541.46 |
| 87481 |
|
1,547 |
1,059 |
$300.77 |
| 87500 |
|
1,578 |
1,053 |
$173.99 |
| 87641 |
|
1,538 |
1,049 |
$142.88 |
| 87653 |
|
1,557 |
1,061 |
$142.88 |
| 87640 |
|
1,564 |
1,062 |
$111.77 |
| 87651 |
|
560 |
428 |
$90.23 |
| 87556 |
|
381 |
269 |
$66.52 |
| 87511 |
|
249 |
178 |
$31.11 |
| 87491 |
|
205 |
186 |
$28.01 |
| 87661 |
|
206 |
188 |
$28.01 |
| 87591 |
|
207 |
186 |
$28.01 |
| 87811 |
|
106 |
74 |
$0.00 |
| P9604 |
One-way allow prorated trip |
16 |
12 |
$0.00 |
| 86409 |
|
12 |
12 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
16 |
12 |
$0.00 |
| 87426 |
|
77 |
36 |
$0.00 |
| P9603 |
One-way allow prorated miles |
17 |
17 |
$0.00 |