Medicaid Provider Spending

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

LEGACY DIAGNOSTIC LAB LLC

NPI: 1114539046 · RICHARDSON, TX 75080 · Clinical Medical Laboratory · NPI assigned 08/21/2020

$67K
Total Medicaid Paid
2,541
Total Claims
2,025
Beneficiaries
13
Codes Billed
2021-03
First Month
2022-08
Last Month

Provider Details

Authorized OfficialALBDOUR, OTHMAN (OWNER)
NPI Enumeration Date08/21/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,277 $30K
2022 1,264 $37K

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 905 738 $48K
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 905 738 $15K
81238 52 49 $1K
81405 112 62 $759.39
81406 112 62 $712.86
81404 112 62 $692.58
81161 45 42 $468.72
81403 52 49 $311.14
81407 52 46 $0.00
81413 45 42 $0.00
81411 45 42 $0.00
81414 48 46 $0.00
81408 56 47 $0.00