WISE DIAGNOSTIC SYSTEMS, LLC
NPI: 1083134209
· THE WOODLANDS, TX 77380
· 291U00000X
$452K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,362 |
$0.00 |
| 2020 |
7,754 |
$49K |
| 2021 |
22,933 |
$116K |
| 2022 |
34,025 |
$150K |
| 2023 |
13,477 |
$72K |
| 2024 |
6,999 |
$64K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| U0004 |
Cov-19 test non-cdc hgh thru |
29,385 |
10,782 |
$248K |
| 87798 |
|
4,842 |
3,862 |
$68K |
| U0005 |
Infec agen detec ampli probe |
23,044 |
8,493 |
$62K |
| 87481 |
|
3,706 |
3,291 |
$21K |
| 87801 |
|
4,373 |
3,831 |
$20K |
| 87500 |
|
2,772 |
1,985 |
$7K |
| 87653 |
|
3,715 |
3,291 |
$6K |
| 87640 |
|
3,720 |
3,292 |
$5K |
| 87635 |
|
491 |
276 |
$4K |
| 87641 |
|
2,225 |
1,975 |
$4K |
| 87150 |
|
1,398 |
1,173 |
$4K |
| 81408 |
|
343 |
342 |
$2K |
| 87493 |
|
106 |
99 |
$301.79 |
| 81225 |
|
415 |
413 |
$261.05 |
| 81401 |
|
385 |
384 |
$230.16 |
| 87502 |
|
12 |
12 |
$229.35 |
| 87634 |
|
12 |
12 |
$168.06 |
| 87498 |
|
108 |
95 |
$84.03 |
| 87581 |
|
122 |
109 |
$84.03 |
| 87486 |
|
122 |
109 |
$84.03 |
| 81355 |
|
415 |
413 |
$74.09 |
| 87503 |
|
12 |
12 |
$69.93 |
| 81241 |
|
415 |
413 |
$61.63 |
| 81240 |
|
415 |
413 |
$55.18 |
| 81291 |
|
415 |
413 |
$54.89 |
| 87491 |
|
97 |
91 |
$32.75 |
| 87591 |
|
98 |
91 |
$32.75 |
| 87661 |
|
82 |
76 |
$32.75 |
| 81226 |
|
415 |
413 |
$25.24 |
| 81328 |
|
413 |
412 |
$0.00 |
| 81232 |
|
414 |
412 |
$0.00 |
| 81418 |
|
245 |
242 |
$0.00 |
| 81335 |
|
416 |
413 |
$0.00 |
| 87501 |
|
96 |
83 |
$0.00 |
| 81227 |
|
415 |
413 |
$0.00 |
| 81230 |
|
417 |
413 |
$0.00 |
| 81231 |
|
415 |
413 |
$0.00 |
| 87651 |
|
59 |
57 |
$0.00 |