Medicaid Provider Spending

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

SOUTHLAKE DIAGNOSTICS INC

NPI: 1053723171 · SOUTHLAKE, TX 76092 · Clinical Medical Laboratory · NPI assigned 05/23/2014

$3K
Total Medicaid Paid
970
Total Claims
883
Beneficiaries
23
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialSTABLES, DON (CEO)
NPI Enumeration Date05/23/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 970 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 16 14 $884.43
85025 Blood count; complete (CBC), automated, and automated differential WBC count 173 154 $406.84
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 58 55 $237.46
84443 Thyroid stimulating hormone (TSH) 80 72 $200.03
84439 43 40 $195.80
83036 Hemoglobin; glycosylated (A1C) 116 104 $184.29
80053 Comprehensive metabolic panel 113 103 $172.31
83970 13 12 $159.04
82670 13 13 $136.95
84270 17 15 $128.76
84403 15 13 $127.45
86803 26 24 $126.72
84481 14 12 $83.65
84144 13 12 $82.40
82607 32 31 $75.15
80061 Lipid panel 58 52 $59.71
87340 13 12 $20.40
81001 52 48 $0.00
84480 14 12 $0.00
87086 Culture, bacterial; quantitative colony count, urine 52 48 $0.00
84436 14 12 $0.00
83001 12 12 $0.00
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 13 13 $0.00