Medicaid Provider Spending

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

QUEST DIAGNOSTICS CLINICAL LABORATORIES INC

NPI: 1114963956 · PORTLAND, OR 97230 · Clinical Medical Laboratory · NPI assigned 06/21/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOWLES, CHARLES controls 20+ related entities in our dataset. Read more

$21.85M
Total Medicaid Paid
1,578,051
Total Claims
1,503,209
Beneficiaries
257
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOWLES, CHARLES (VICE PRESIDENT)
Parent OrganizationQUEST DIAGNOSTICS INCORPORATED
NPI Enumeration Date06/21/2006

Related Entities

Other providers sharing the same authorized official: BOWLES, CHARLES

ProviderCityStateTotal Paid
QUEST DIAGNOSTICS LLC MARLBOROUGH MA $209.74M
QUEST DIAGNOSTICS OF PENNSYLVANIA, INC. PITTSBURGH PA $132.39M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC SEATTLE WA $109.23M
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. BUFFALO NY $20.20M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC COLLEGEVILLE PA $12.52M
SOLSTAS LAB PARTNERS GROUP LLC GREENSBORO NC $11.62M
QUEST DIAGNOSTICS INCORPORATED MI FLINT MI $8.64M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC TUCKER GA $3.66M
UNILAB CORPORATION WEST HILLS CA $3.12M
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. TWINSBURG OH $2.56M
QUEST DIAGNOSTICS INCORPORATED MD FALLS CHURCH VA $936K
QUEST DIAGNOSTICS LLC WALLINGFORD CT $706K
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. NORTH SYRACUSE NY $492K
SOLSTAS LAB PARTNERS, LLC KNOXVILLE TN $455K
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC NORRISTOWN PA $319K
UNILAB CORPORATION SAN JOSE CA $253K
UNILAB CORPORATION ORANGE CA $122K
QUEST DIAGNOSTICS LLC STRATFORD CT $103K
UNILAB CORPORATION BAKERSFIELD CA $53K
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC HORSHAM PA $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 229,908 $3.34M
2019 197,873 $2.74M
2020 217,858 $3.32M
2021 184,665 $2.44M
2022 214,580 $2.79M
2023 251,571 $3.30M
2024 281,596 $3.91M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 55,624 45,809 $1.21M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 55,530 45,775 $1.21M
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 15,919 15,284 $1.11M
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 1,946 1,929 $937K
80053 Comprehensive metabolic panel 136,309 132,900 $907K
80061 Lipid panel 96,499 95,228 $802K
84443 Thyroid stimulating hormone (TSH) 71,268 70,092 $791K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 34,744 34,288 $702K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 10,127 8,853 $696K
81513 6,743 6,631 $635K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 26,494 25,706 $605K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 29,587 28,834 $558K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 11,425 10,870 $541K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 13,273 11,656 $536K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 31,577 31,214 $525K
83036 Hemoglobin; glycosylated (A1C) 84,657 83,740 $514K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 95,924 92,769 $468K
87536 6,637 6,573 $369K
87799 14,133 4,348 $368K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 14,675 14,234 $355K
82728 38,048 37,465 $350K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,842 6,026 $329K
86803 33,183 32,891 $318K
86003 3,553 3,467 $270K
84403 14,970 14,698 $267K
86480 4,733 4,697 $196K
82607 19,772 19,517 $195K
36415 Collection of venous blood by venipuncture 59,100 55,871 $182K
82670 8,649 8,481 $169K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 457 452 $168K
80081 2,978 2,947 $163K
83550 24,418 24,078 $140K
84481 11,308 11,065 $140K
84439 21,342 20,935 $134K
87512 4,429 4,263 $132K
80050 General health panel 3,145 3,115 $130K
87902 683 660 $128K
82746 13,085 12,926 $124K
88142 8,168 7,996 $121K
87522 Neg quan hep c or qual rna 4,195 4,082 $119K
83013 2,534 2,513 $116K
87086 Culture, bacterial; quantitative colony count, urine 21,148 20,179 $108K
83540 24,975 24,623 $107K
87340 15,108 14,920 $104K
86001 283 278 $86K
84402 4,929 4,840 $86K
86360 2,890 2,882 $85K
88141 5,797 5,630 $83K
87088 16,161 15,227 $81K
86235 1,504 1,448 $80K
86317 7,718 7,515 $77K
84153 6,693 6,614 $72K
84702 6,702 5,542 $72K
86364 1,218 1,200 $70K
80074 1,976 1,960 $68K
86704 7,997 7,923 $65K
86359 2,721 2,714 $64K
84270 4,097 4,023 $62K
83655 6,771 6,700 $59K
83001 4,363 4,307 $58K
86696 3,814 3,751 $57K
84144 3,807 3,706 $56K
86592 18,418 18,188 $55K
83880 2,606 2,525 $54K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 485 402 $52K
82043 15,930 15,752 $52K
86376 4,916 4,832 $52K
86038 6,226 6,118 $51K
82570 17,701 17,400 $51K
82627 3,130 3,073 $50K
82652 1,803 1,762 $49K
80048 Basic metabolic panel (calcium, ionized) 10,294 9,818 $48K
86800 4,207 4,143 $47K
86141 5,214 5,124 $47K
83090 3,824 3,767 $47K
84146 3,230 3,180 $45K
85027 10,181 9,927 $44K
86780 4,915 4,870 $44K
83002 3,243 3,200 $43K
83970 1,957 1,922 $42K
87480 2,856 2,780 $41K
87510 2,855 2,779 $41K
87660 2,856 2,780 $39K
87070 6,562 6,331 $39K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,114 1,090 $39K
83516 4,748 2,465 $39K
87186 7,281 6,854 $38K
87338 3,741 3,711 $36K
81511 376 373 $36K
86695 3,534 3,491 $36K
87077 7,261 6,886 $35K
82274 3,562 3,535 $35K
83921 2,781 2,759 $35K
81329 371 369 $33K
83520 3,151 2,149 $33K
88342 736 477 $33K
86708 3,695 3,652 $32K
87209 2,575 1,457 $32K
86665 1,244 1,196 $31K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 65 58 $31K
88112 727 689 $27K
86140 7,572 7,360 $26K
82785 2,227 2,199 $26K
87517 966 956 $25K
82784 3,223 3,147 $25K
82533 2,266 2,184 $25K
82542 1,499 1,305 $24K
86200 2,595 2,566 $23K
83735 5,290 5,021 $22K
83525 2,506 2,453 $22K
86706 2,854 2,825 $22K
82105 1,975 1,933 $21K
82951 2,213 2,188 $21K
83690 4,289 4,186 $20K
87625 786 772 $19K
87481 517 206 $19K
80076 3,131 3,062 $18K
86008 245 243 $17K
86787 1,495 1,483 $16K
87177 2,574 1,461 $16K
83721 2,333 2,296 $15K
84630 1,840 1,803 $14K
85652 7,401 7,264 $14K
86431 3,548 3,504 $14K
86664 1,114 1,088 $13K
81001 6,203 5,924 $12K
82677 621 608 $12K
82172 937 928 $12K
86769 928 815 $12K
86762 1,149 1,124 $12K
87081 2,393 2,350 $11K
87255 354 347 $10K
85610 3,956 3,665 $10K
86039 1,229 1,207 $9K
83993 453 452 $9K
82150 1,936 1,891 $9K
86709 1,135 1,120 $9K
84550 3,097 2,999 $9K
86682 943 915 $9K
82525 994 970 $8K
82977 1,659 1,617 $8K
82672 534 529 $8K
84425 650 646 $8K
87147 2,426 2,167 $8K
84436 2,334 2,292 $8K
82565 2,324 2,297 $8K
86336 613 601 $8K
81596 193 190 $7K
85060 475 471 $7K
80178 1,664 1,581 $7K
84480 1,254 1,226 $6K
84154 533 530 $6K
82530 238 227 $6K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 266 158 $6K
85730 1,570 1,514 $6K
80164 808 766 $6K
86705 748 739 $6K
99001 2,000 1,702 $6K
86160 394 385 $6K
80069 1,223 1,167 $5K
84165 909 863 $5K
87631 60 59 $5K
87427 578 568 $5K
84482 387 373 $5K
86225 464 459 $4K
86765 470 462 $4K
87075 748 718 $4K
87205 1,519 1,444 $4K
84156 1,793 1,704 $4K
84207 165 159 $4K
86735 405 398 $4K
87045 596 586 $4K
82550 935 890 $4K
84100 1,441 1,337 $4K
82330 486 483 $3K
87449 491 418 $3K
86663 378 373 $3K
84479 863 853 $3K
87529 74 62 $3K
85007 1,200 1,155 $3K
82248 956 862 $3K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 31 31 $3K
82040 825 813 $3K
84681 208 205 $3K
87046 401 386 $3K
82950 739 723 $3K
82397 194 192 $2K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 896 793 $2K
83020 256 254 $2K
87563 94 90 $2K
83021 128 124 $2K
86850 348 339 $2K
85018 1,082 1,043 $2K
85379 268 260 $2K
86593 540 533 $2K
86900 691 682 $2K
82024 62 62 $1K
86334 132 119 $1K
86901 633 623 $1K
84132 400 395 $1K
82310 400 392 $1K
85014 770 747 $1K
88312 24 24 $1K
84155 561 522 $1K
86812 56 56 $1K
81015 573 565 $1K
87329 121 116 $922.37
85041 435 421 $891.34
88104 26 26 $857.47
86255 106 85 $850.69
83615 184 177 $804.48
84703 105 104 $603.74
86147 30 12 $552.42
84460 161 154 $546.99
87324 66 66 $515.91
84520 191 191 $479.13
85045 206 204 $460.80
82247 173 119 $441.48
86644 39 38 $429.47
81508 13 12 $418.11
82180 52 51 $407.19
86618 29 27 $367.75
82140 40 38 $354.91
86645 26 25 $349.44
82465 108 108 $320.93
84445 13 13 $320.40
82747 27 27 $309.00
82947 92 92 $279.33
82390 28 27 $255.71
83498 13 13 $247.26
86617 12 12 $241.00
88304 12 12 $237.28
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 1,022 987 $230.00
83695 943 936 $225.90
83704 850 843 $209.76
85004 49 46 $194.79
82679 13 12 $174.70
99199 Unlisted special service, procedure or report 2,536 2,090 $174.69
84163 14 13 $156.12
84432 12 12 $123.64
87272 13 13 $111.84
84484 14 14 $87.30
85613 12 12 $87.23
84450 25 25 $87.12
85048 49 46 $76.54
83698 450 443 $74.00
87101 12 12 $71.88
80159 13 12 $56.44
81003 12 12 $20.40
80349 461 372 $0.00
80324 39 37 $0.00
80365 194 187 $0.00
80361 196 189 $0.00
80348 107 101 $0.00
80346 33 32 $0.00
81291 13 13 $0.00
80321 12 12 $0.00