Medicaid Provider Spending

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

GRAHAM TOMBALL LLC

NPI: 1093294746 · TOMBALL, TX 77375 · Clinical Medical Laboratory · NPI assigned 08/13/2018

$386K
Total Medicaid Paid
14,913
Total Claims
10,113
Beneficiaries
35
Codes Billed
2022-02
First Month
2023-04
Last Month

Provider Details

Authorized OfficialALSAAB, SAAD (PRESIDENT)
Parent OrganizationPENTA STATE LLC
NPI Enumeration Date08/13/2018

Related Entities

Other providers sharing the same authorized official: ALSAAB, SAAD

ProviderCityStateTotal Paid
ELITE MEDICAL LABORATORY SOLUTIONS LLC TOMBALL TX $1.03M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 8,160 $201K
2023 6,753 $185K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,776 667 $122K
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 1,331 713 $83K
87481 1,137 549 $22K
87631 221 215 $22K
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 996 451 $21K
87496 675 603 $10K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 684 593 $9K
87640 567 522 $8K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 566 499 $7K
87653 577 510 $7K
87556 358 328 $6K
87551 235 219 $6K
81408 96 93 $6K
87486 312 290 $6K
87581 311 289 $6K
87498 311 289 $6K
87541 310 288 $6K
87532 273 257 $5K
87500 453 392 $5K
87641 456 394 $5K
87561 228 212 $4K
87529 365 208 $4K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 29 26 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 305 260 $2K
81407 96 93 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 308 260 $1K
87563 206 188 $1K
81405 95 92 $1K
81406 95 92 $1K
81404 95 92 $965.29
87511 79 73 $244.46
81401 96 93 $207.42
81344 100 97 $137.00
81179 100 97 $137.00
81479 Unlisted molecular pathology procedure 71 69 $0.00