SDXRAY & LAB INC
NPI: 1043408586
· DIAMOND BAR, CA 91765
· Clinical Medical Laboratory
· NPI assigned 10/10/2007
Provider Details
| Authorized Official | CHUNG, PETER (OWNER/DIRECTOR) |
| NPI Enumeration Date | 10/10/2007 |
Related Entities
Other providers sharing the same authorized official: CHUNG, PETER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,989 |
$2K |
| 2019 |
2,113 |
$2K |
| 2020 |
234 |
$110.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,905 |
1,561 |
$2K |
| 80053 |
Comprehensive metabolic panel |
758 |
689 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
409 |
393 |
$574.96 |
| 80061 |
Lipid panel |
316 |
305 |
$355.28 |
| 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 |
265 |
215 |
$97.81 |
| 36415 |
Collection of venous blood by venipuncture |
397 |
318 |
$82.27 |
| 80164 |
|
87 |
76 |
$66.16 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
58 |
53 |
$42.52 |
| 80178 |
|
13 |
13 |
$38.59 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$24.54 |
| 80159 |
|
29 |
28 |
$20.14 |
| 99000 |
|
86 |
79 |
$17.95 |