Home ›
CA ›
WILDOMAR ›
MEDICAL LABORATORY SERVICES MEDICAL GROUP, INC.
MEDICAL LABORATORY SERVICES MEDICAL GROUP, INC.
NPI: 1063477461
· WILDOMAR, CA 92595
· Cytopathology Physician
· NPI assigned 04/19/2006
$136K
Total Medicaid Paid
Provider Details
| Authorized Official | HOLBURT, ERNEST (PRESIDENT) |
| NPI Enumeration Date | 04/19/2006 |
Related Entities
Other providers sharing the same authorized official: HOLBURT, ERNEST
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
45,630 |
$61K |
| 2019 |
10,591 |
$12K |
| 2020 |
14,505 |
$25K |
| 2021 |
17,033 |
$23K |
| 2022 |
12,595 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80053 |
|
15,604 |
11,572 |
$26K |
| 85025 |
|
15,966 |
11,836 |
$19K |
| 82962 |
|
3,795 |
1,372 |
$14K |
| 80048 |
|
5,962 |
3,446 |
$8K |
| 84484 |
|
4,269 |
3,683 |
$8K |
| 83735 |
|
5,777 |
3,455 |
$6K |
| 83690 |
|
5,510 |
4,927 |
$6K |
| 85027 |
|
4,869 |
2,987 |
$5K |
| 81025 |
|
1,658 |
1,591 |
$4K |
| 85610 |
|
5,828 |
5,077 |
$4K |
| 85730 |
|
3,804 |
3,519 |
$4K |
| 84443 |
|
1,181 |
1,148 |
$3K |
| 81003 |
|
8,156 |
7,828 |
$3K |
| 83605 |
|
1,334 |
1,072 |
$2K |
| 87086 |
|
1,614 |
1,537 |
$2K |
| 87040 |
|
813 |
728 |
$2K |
| 87635 |
|
225 |
211 |
$2K |
| 83880 |
|
386 |
343 |
$2K |
| 84703 |
|
1,438 |
1,387 |
$2K |
| 87641 |
|
200 |
184 |
$2K |
| 81001 |
|
3,094 |
2,903 |
$1K |
| 84439 |
|
905 |
888 |
$1K |
| 85379 |
|
556 |
538 |
$1K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
165 |
158 |
$907.15 |
| 87077 |
|
592 |
538 |
$865.78 |
| 84702 |
|
325 |
281 |
$767.25 |
| 87186 |
|
486 |
468 |
$739.63 |
| 82550 |
|
598 |
526 |
$659.69 |
| 80061 |
|
279 |
263 |
$500.90 |
| 84100 |
|
712 |
385 |
$493.47 |
| 86900 |
|
814 |
761 |
$412.98 |
| 82533 |
|
140 |
136 |
$401.51 |
| 87070 |
|
282 |
271 |
$385.65 |
| 86901 |
|
818 |
763 |
$375.67 |
| 86850 |
|
483 |
446 |
$362.74 |
| 83036 |
|
268 |
258 |
$327.42 |
| 88304 |
|
13 |
12 |
$313.82 |
| 87205 |
|
337 |
297 |
$206.89 |
| 87491 |
|
29 |
28 |
$205.08 |
| 87591 |
|
29 |
28 |
$198.96 |
| 87081 |
|
236 |
233 |
$196.80 |
| 87276 |
|
118 |
116 |
$112.81 |
| 87275 |
|
119 |
117 |
$112.81 |
| 80202 |
|
50 |
27 |
$108.45 |
| 86140 |
|
134 |
111 |
$88.77 |
| 86141 |
|
47 |
46 |
$79.92 |
| 86677 |
|
35 |
35 |
$76.80 |
| 82010 |
|
61 |
58 |
$76.50 |
| 84145 |
|
28 |
25 |
$74.84 |
| 87430 |
|
30 |
29 |
$40.50 |
| 85652 |
|
85 |
78 |
$36.95 |
| 83721 |
|
12 |
12 |
$19.44 |
| 82272 |
|
12 |
12 |
$13.97 |
| 84132 |
|
17 |
15 |
$10.21 |
| 85014 |
|
13 |
12 |
$5.57 |
| 85018 |
|
13 |
12 |
$5.33 |
| 0241U |
|
13 |
13 |
$0.00 |
| 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 |
17 |
17 |
$0.00 |