PATHOLOGY SERVICES LABORATORY PA
NPI: 1093889347
· RUSSELLVILLE, AR 72811
· Anatomic Pathology & Clinical Pathology Physician
· NPI assigned 11/20/2006
$870K
Total Medicaid Paid
Provider Details
| Authorized Official | JETTON, CHRISTINA (PRESIDENT) |
| NPI Enumeration Date | 11/20/2006 |
Related Entities
Other providers sharing the same authorized official: JETTON, CHRISTINA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,411 |
$31K |
| 2019 |
1,656 |
$38K |
| 2020 |
4,572 |
$185K |
| 2021 |
7,372 |
$345K |
| 2022 |
3,616 |
$177K |
| 2023 |
2,676 |
$70K |
| 2024 |
787 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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 |
7,903 |
6,657 |
$620K |
| 88305 |
|
4,866 |
3,872 |
$124K |
| 88175 |
|
1,720 |
1,512 |
$26K |
| 88304 |
|
1,097 |
812 |
$23K |
| 87491 |
|
655 |
503 |
$20K |
| 87591 |
|
620 |
476 |
$19K |
| 87624 |
|
411 |
346 |
$13K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,069 |
814 |
$13K |
| 88307 |
|
270 |
209 |
$11K |
| 88141 |
|
326 |
279 |
$2K |
| 88300 |
|
20 |
13 |
$205.70 |
| 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 |
3,121 |
2,870 |
$0.00 |
| 88312 |
|
12 |
12 |
$0.00 |