Medicaid Provider Spending

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

ALTA DIAGNOSTIC LABORATORIES, INC

NPI: 1063180354 · ALTADENA, CA 91001 · Clinical Medical Laboratory · NPI assigned 09/01/2021

$166K
Total Medicaid Paid
6,256
Total Claims
3,778
Beneficiaries
12
Codes Billed
2021-12
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCHAKHALYAN, MAYA (OWNER)
NPI Enumeration Date09/01/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 277 $8K
2022 3,723 $115K
2023 2,085 $43K
2024 171 $45.12

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0003 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, making use of high throughput technologies as described by cms-2020-01-r 2,412 1,401 $117K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 1,990 1,224 $26K
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 1,037 683 $12K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 281 155 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 365 144 $3K
86485 24 24 $45.12
87500 12 12 $0.00
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 24 24 $0.00
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 44 44 $0.00
87481 37 37 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 15 15 $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 15 15 $0.00