Medicaid Provider Spending

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

PROVISTA HEALTH, LLC

NPI: 1053595751 · SCOTTSDALE, AZ 85255 · Clinical Medical Laboratory · NPI assigned 12/18/2007

$105K
Total Medicaid Paid
5,813
Total Claims
3,095
Beneficiaries
13
Codes Billed
2020-04
First Month
2020-07
Last Month

Provider Details

Authorized OfficialJOLLY, TARUN (OWNER)
NPI Enumeration Date12/18/2007

Related Entities

Other providers sharing the same authorized official: JOLLY, TARUN

ProviderCityStateTotal Paid
ANIMO LAB SERVICES LLC MARRERO LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 5,813 $105K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 480 256 $59K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 655 327 $20K
87496 619 326 $4K
87532 612 324 $4K
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 449 255 $3K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 167 89 $3K
87581 617 325 $3K
87486 618 326 $3K
87541 616 325 $3K
87640 618 326 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 167 96 $275.91
87498 168 97 $104.57
87634 27 23 $0.00