1124130653

1124130653 was paid $15.23M by Medicaid between Jan 2018 and Apr 2022, across 134 billing codes. Its largest line is 87799, — 25% of everything it billed.

33Billing provider info1124130653

33aNPI1124130653

33bProvider type—

28Total paid$15.23M

24GClaims410,772

24DCodes billed134

24AFirst – last monthJan 2018 – Apr 2022

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	55,476	$1.39M
2019	58,081	$1.92M
2020	137,319	$5.74M
2021	157,792	$6.10M
2022	2,104	$74K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87799		25%	63,154	36,153	$3.82M
87801	Infectious agent detection by nucleic acid; amplified probe, multiple organisms	11%	43,359	38,036	$1.74M
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	8.8%	40,463	35,311	$1.34M
87902		8.8%	7,847	7,189	$1.34M
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	8.8%	40,559	35,240	$1.34M
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	8.6%	19,128	17,927	$1.31M
87512		7.7%	40,629	35,330	$1.18M
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	5.9%	41,415	36,843	$896K
87901		2.1%	3,793	3,466	$319K
87522	Neg quan hep c or qual rna	1.9%	8,136	7,678	$293K
87900		1.6%	3,811	3,479	$241K
87536		1.5%	5,680	5,400	$236K

122 more codes

86696		1.1%	10,977	$175K
87906		<1%	2,031	$130K
86695		<1%	9,801	$105K
87529		<1%	2,215	$91K
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	<1%	2,624	$77K
86787		<1%	6,197	$68K
87517		<1%	2,245	$65K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	1,346	$41K
86753		<1%	5,341	$32K
87497		<1%	945	$29K
86317		<1%	6,089	$25K
86682		<1%	2,834	$24K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	<1%	643	$23K
87521	Neg quan hep c or qual rna	<1%	884	$23K
87912		<1%	372	$21K
87624	Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types	<1%	811	$18K
86635		<1%	724	$18K
87631		<1%	174	$16K
87632		<1%	183	$15K
86780		<1%	2,272	$15K
86628		<1%	947	$11K
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	<1%	711	$10K
87535		<1%	309	$9K
86665		<1%	734	$8K
86382		<1%	604	$8K
83520		<1%	736	$8K
87563		<1%	489	$8K
87254		<1%	577	$7K
87481		<1%	403	$7K
87230		<1%	556	$7K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	103	$7K
82397		<1%	955	$6K
86790		<1%	1,310	$6K
86794		<1%	322	$6K
87081		<1%	933	$6K
87634		<1%	201	$5K
86774		<1%	530	$5K
86592		<1%	1,614	$4K
86707		<1%	381	$3K
86765		<1%	372	$3K
87350		<1%	398	$3K
86747		<1%	193	$3K
86692		<1%	435	$3K
87109		<1%	259	$2K
86757		<1%	264	$2K
86664		<1%	437	$2K
86618		<1%	691	$2K
86648		<1%	291	$2K
86803		<1%	568	$2K
86735		<1%	321	$2K
86617		<1%	394	$2K
86666		<1%	876	$2K
86762		<1%	347	$2K
86615		<1%	122	$2K
87340		<1%	429	$1K
86611		<1%	157	$1K
86644		<1%	277	$1K
86638		<1%	140	$1K
87300		<1%	200	$1K
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%	712	$1K
87150		<1%	39	$898.95
86769		<1%	22	$733.16
87538		<1%	37	$715.46
36415	Collection of venous blood by venipuncture	<1%	2,233	$642.32
87449		<1%	90	$614.79
86645		<1%	139	$577.41
86738		<1%	82	$539.16
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	695	$375.10
80053	Comprehensive metabolic panel	<1%	1,358	$329.53
87168		<1%	218	$272.87
84443	Thyroid stimulating hormone (TSH)	<1%	897	$257.95
86684		<1%	22	$257.68
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	1,386	$245.22
86609		<1%	29	$231.80
87280		<1%	15	$229.20
82607		<1%	441	$143.49
80061	Lipid panel	<1%	686	$127.78
86038		<1%	376	$127.26
83014		<1%	30	$116.37
83516		<1%	156	$108.12
86658		<1%	15	$103.05
83036	Hemoglobin; glycosylated (A1C)	<1%	611	$95.40
82784		<1%	169	$94.06
86140		<1%	387	$63.30
86663		<1%	12	$60.11
86403		<1%	13	$55.65
82746		<1%	258	$51.13
86704		<1%	116	$47.55
84439		<1%	258	$47.31
86255		<1%	69	$43.84
82728		<1%	133	$36.95
86706		<1%	131	$36.69
85652		<1%	360	$35.70
86060		<1%	148	$33.82
87186		<1%	27	$28.15
81001		<1%	408	$22.12
82043		<1%	65	$21.00
83540		<1%	234	$20.92
82248		<1%	236	$20.80
86431		<1%	116	$20.29
83550		<1%	144	$20.03
82570		<1%	70	$18.76
82105		<1%	85	$17.40
86622		<1%	21	$12.10
82977		<1%	62	$11.19
84550		<1%	87	$9.36
83735		<1%	43	$6.94
81003		<1%	73	$4.64
87086	Culture, bacterial; quantitative colony count, urine	<1%	39	$4.18
83615		<1%	12	$3.13
84100		<1%	52	$2.46
84436		0%	135	$0.00
84153		0%	25	$0.00
84479		0%	26	$0.00
80197		0%	26	$0.00
86671		0%	18	$0.00
86021		0%	21	$0.00
82465		0%	14	$0.00
80074		0%	26	$0.00
86708		0%	72	$0.00
86709		0%	12	$0.00
86200		0%	12	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.