ALTA DIAGNOSTIC LABORATORIES, INC
NPI: 1063180354
· ALTADENA, CA 91001
· 291U00000X
$166K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
277 |
$8K |
| 2022 |
3,723 |
$115K |
| 2023 |
2,085 |
$43K |
| 2024 |
171 |
$45.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| U0003 |
Cov-19 amp prb hgh thruput |
2,412 |
1,401 |
$117K |
| G2023 |
Specimen collect covid-19 |
1,990 |
1,224 |
$26K |
| U0005 |
Infec agen detec ampli probe |
1,037 |
683 |
$12K |
| 87636 |
|
281 |
155 |
$8K |
| 87635 |
|
365 |
144 |
$3K |
| 86485 |
|
24 |
24 |
$45.12 |
| 87500 |
|
12 |
12 |
$0.00 |
| 87637 |
|
24 |
24 |
$0.00 |
| 87798 |
|
44 |
44 |
$0.00 |
| 87481 |
|
37 |
37 |
$0.00 |
| 80307 |
|
15 |
15 |
$0.00 |
| G0483 |
Drug test def 22+ classes |
15 |
15 |
$0.00 |