Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › PA › FEASTERVILLE › SMA MEDICAL, INC.

SMA MEDICAL, INC.

NPI: 1043271539 · FEASTERVILLE, PA 19053 · Clinical Medical Laboratory · NPI assigned 04/01/2006

$20.44M
Total Medicaid Paid
1,769,913
Total Claims
1,445,451
Beneficiaries
262
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialZHIVALYUK, KIRA (GENERAL MANAGER)
NPI Enumeration Date04/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 245,311 $2.26M
2019 185,392 $2.03M
2020 293,330 $4.05M
2021 334,304 $4.29M
2022 327,539 $3.86M
2023 195,701 $2.12M
2024 188,336 $1.82M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 56,846 37,040 $3.22M
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 36,378 21,520 $2.35M
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 15,571 12,901 $1.38M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 53,949 37,295 $1.21M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3,392 3,045 $1.06M
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 23,221 18,128 $991K
87150 9,744 7,831 $703K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 44,689 39,539 $472K
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 23,338 13,801 $405K
87481 11,020 9,085 $291K
80061 Lipid panel 56,179 49,991 $251K
84311 77,780 51,148 $205K
84443 Thyroid stimulating hormone (TSH) 49,271 43,422 $201K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 15,597 13,561 $195K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 15,597 13,564 $195K
86235 2,177 2,020 $181K
82607 29,282 26,278 $172K
80050 General health panel 12,364 11,273 $163K
83036 Hemoglobin; glycosylated (A1C) 50,521 45,086 $159K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 13,421 11,603 $154K
82570 82,124 54,657 $143K
80053 Comprehensive metabolic panel 53,978 47,705 $139K
86003 1,162 968 $136K
87500 10,377 9,135 $132K
82746 19,018 17,080 $126K
87653 10,368 8,749 $117K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 58,366 51,493 $116K
80323 8,680 7,344 $115K
80354 9,457 7,947 $114K
80360 9,062 7,746 $112K
86769 3,511 1,575 $112K
80357 8,551 7,443 $111K
80171 7,931 6,831 $107K
80368 8,280 7,037 $105K
80369 7,783 6,835 $105K
80366 8,499 7,203 $104K
80342 7,984 6,920 $103K
87640 10,635 8,907 $102K
87486 3,906 3,362 $93K
87581 3,908 3,362 $93K
83090 12,556 11,234 $93K
80361 7,516 6,286 $91K
80372 6,521 5,988 $91K
80374 7,601 6,401 $91K
82728 15,330 14,072 $87K
80346 6,286 5,234 $85K
81226 1,041 945 $85K
80074 5,292 4,597 $85K
80356 6,618 5,452 $83K
84403 8,166 7,356 $83K
83018 2,870 2,456 $82K
80365 5,855 5,179 $77K
80348 6,488 5,283 $73K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 8,688 7,739 $73K
84439 21,665 19,164 $69K
86780 13,327 11,770 $69K
80373 5,546 4,632 $69K
83986 62,093 39,752 $68K
84480 9,682 8,940 $67K
81003 75,824 50,397 $66K
84466 10,769 9,996 $64K
80358 5,975 4,926 $64K
87641 5,033 4,108 $62K
80324 4,829 4,292 $61K
86708 13,321 11,752 $59K
87799 4,314 3,567 $58K
86704 13,308 11,746 $55K
81225 1,019 938 $52K
86706 13,568 11,976 $50K
86696 6,741 5,941 $50K
84153 7,997 7,274 $50K
82670 5,383 4,768 $49K
83704 5,300 4,728 $44K
83735 15,151 13,796 $42K
86800 4,141 3,871 $38K
86376 4,646 4,317 $38K
87086 Culture, bacterial; quantitative colony count, urine 14,357 12,696 $38K
87390 4,761 4,254 $35K
84144 4,976 4,388 $34K
86695 6,696 5,896 $33K
86705 7,771 7,008 $33K
83698 3,373 3,080 $32K
86709 7,654 6,907 $32K
82627 3,839 3,435 $31K
80350 3,449 2,629 $31K
82977 8,878 8,127 $31K
86141 7,793 6,906 $30K
84550 16,680 15,049 $30K
87340 7,991 7,205 $30K
83525 8,782 7,765 $30K
83001 4,201 3,759 $29K
84146 3,939 3,511 $28K
81231 453 425 $28K
84481 8,216 7,302 $28K
81227 471 467 $27K
84270 3,422 3,057 $27K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,033 4,400 $26K
83002 3,959 3,527 $26K
83540 9,280 8,075 $26K
84681 3,948 3,460 $26K
82300 2,796 2,438 $25K
81401 633 545 $25K
81230 300 297 $24K
82108 2,793 2,437 $24K
86038 3,602 3,293 $24K
84436 9,894 8,956 $24K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 602 522 $23K
83785 2,794 2,437 $23K
80335 1,553 1,423 $23K
86160 1,271 1,190 $22K
83695 9,348 8,243 $21K
80048 Basic metabolic panel (calcium, ionized) 6,276 5,720 $21K
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 4,602 1,791 $20K
86702 4,772 4,263 $20K
83880 2,173 1,933 $19K
86225 2,184 2,037 $19K
81001 16,905 15,234 $19K
80076 4,296 4,035 $18K
84402 2,570 2,250 $18K
82985 1,484 1,419 $17K
87186 5,024 4,505 $17K
84154 2,645 2,411 $16K
82652 987 868 $16K
83721 12,262 10,551 $16K
83550 11,997 10,925 $16K
83885 1,907 1,723 $16K
82175 2,803 2,451 $16K
86618 1,315 1,235 $16K
83825 2,803 2,449 $15K
82248 6,858 6,352 $15K
83970 1,133 987 $15K
86701 4,764 4,259 $15K
82550 3,944 3,680 $15K
87088 4,386 3,959 $15K
81328 314 299 $15K
82043 6,812 6,232 $14K
87505 417 358 $14K
84255 995 919 $13K
84630 2,843 2,486 $13K
82525 2,819 2,465 $12K
83655 3,163 2,787 $12K
36415 Collection of venous blood by venipuncture 39,535 34,102 $12K
87350 3,225 2,682 $11K
84378 1,144 1,107 $11K
86707 3,075 2,538 $11K
80349 765 703 $11K
86803 1,737 1,541 $10K
86431 3,742 3,400 $9K
82785 745 678 $9K
86140 3,860 3,534 $9K
86703 1,876 1,663 $8K
82172 2,008 1,767 $8K
81223 17 17 $8K
87631 429 244 $8K
82542 1,717 1,509 $8K
80347 596 540 $7K
85651 3,297 3,015 $7K
80320 483 437 $6K
86256 1,235 1,114 $6K
82495 439 347 $6K
81400 607 526 $5K
81002 5,569 4,898 $5K
81291 220 220 $5K
83789 1,135 1,025 $5K
87652 415 360 $5K
83992 272 249 $5K
83516 715 659 $5K
84315 5,477 4,329 $5K
85045 1,831 1,706 $4K
80353 272 249 $4K
84479 4,335 3,615 $4K
81406 24 20 $4K
82150 2,218 2,024 $4K
82784 278 261 $4K
86301 223 203 $4K
84702 556 485 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 282 268 $3K
82378 274 252 $3K
86804 513 467 $3K
81479 Unlisted molecular pathology procedure 283 280 $3K
83690 1,280 1,163 $3K
80364 183 163 $3K
86677 229 208 $3K
82725 819 724 $3K
83921 179 176 $3K
84100 1,861 1,623 $3K
81259 21 17 $2K
84482 937 786 $2K
85610 1,893 1,310 $2K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 200 183 $2K
80345 156 119 $2K
82533 798 652 $2K
81252 17 17 $2K
84425 273 230 $1K
82105 84 80 $1K
84207 112 97 $1K
86304 77 71 $1K
86592 760 695 $1K
84252 233 191 $1K
85046 531 467 $971.02
86300 55 53 $968.64
81250 17 17 $935.84
81243 17 17 $912.64
85730 501 443 $907.43
84140 130 114 $901.12
84445 67 61 $867.85
81255 17 17 $823.20
81251 17 17 $756.00
81200 17 17 $756.00
81330 17 17 $752.00
84156 574 474 $750.11
86901 331 317 $723.30
86900 330 316 $720.62
81290 17 17 $628.96
81260 17 17 $628.96
81209 17 17 $628.96
81405 20 20 $602.70
0202U Oncology (prostate), multianalyte, gene expression profiling 14 12 $557.58
80355 259 222 $552.23
81404 17 17 $549.66
84446 431 335 $525.05
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 815 648 $416.08
84590 196 160 $375.59
83876 47 40 $362.79
82947 113 108 $344.83
80164 145 124 $334.04
81005 323 316 $308.92
82787 14 14 $275.12
86694 45 43 $266.67
83615 487 387 $260.50
84591 247 176 $252.74
80352 54 51 $247.64
80069 520 414 $217.59
86039 44 40 $197.19
86762 28 27 $146.34
86787 27 25 $112.22
88112 78 74 $102.37
80178 16 16 $97.22
86735 14 13 $70.34
86765 14 13 $69.38
82610 13 13 $68.54
80177 14 12 $47.36
81242 20 20 $36.62
86850 14 14 $25.04
81015 88 84 $22.98
87147 15 14 $19.24
82553 14 13 $4.50
82180 93 67 $3.96
81205 17 17 $0.00
0032U 232 202 $0.00
81363 17 17 $0.00
81355 131 130 $0.00
81364 17 17 $0.00
81232 64 51 $0.00
80301 12 12 $0.00
80336 20 14 $0.00
81222 17 17 $0.00
0033U 232 202 $0.00
0031U 232 202 $0.00
81350 75 57 $0.00
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 45 32 $0.00
81254 17 17 $0.00