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NPI 1124417357
NPI deactivated
1124417357
1124417357 was paid $76.74M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 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 — 88% of everything it billed.
33Billing provider info1124417357
33aNPI1124417357
33bProvider type—
28Total paid$76.74M
24GClaims1,784,652
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
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 | 2,609 | $31K | |
| 2020 | 159,612 | $9.03M | |
| 2021 | 1,094,645 | $45.13M | |
| 2022 | 493,355 | $21.49M | |
| 2023 | 33,354 | $1.05M | |
| 2024incomplete | 1,077 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | 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 | 88% | 1,178,774 | 898,159 | $67.78M |
| 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 | 11% | 582,974 | 467,764 | $8.57M |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 1,238 | 1,156 | $110K |
| G0482 | 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; 15-21 drug class(es), including metabolite(s) if performed | <1% | 1,118 | 916 | $59K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,329 | 1,208 | $47K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 1,086 | 845 | $40K |
| 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 | <1% | 360 | 332 | $39K |
| 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 | <1% | 316 | 269 | $33K |
| 87521 | Neg quan hep c or qual rna | <1% | 1,215 | 1,085 | $11K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 5,558 | 808 | $10K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 1,751 | 1,490 | $6K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,585 | 1,367 | $5K |
37 more codes
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 540 | $5K |
| 80325 | <1% | 121 | $4K | |
| 87529 | <1% | 783 | $3K | |
| 80348 | <1% | 122 | $2K | |
| 80321 | <1% | 71 | $2K | |
| 87507 | <1% | 139 | $2K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 1,560 | $1K |
| 87632 | <1% | 589 | $1K | |
| 80346 | <1% | 123 | $926.65 | |
| 80361 | <1% | 127 | $907.35 | |
| 80353 | <1% | 131 | $897.45 | |
| 80358 | <1% | 124 | $839.55 | |
| 80359 | <1% | 125 | $829.90 | |
| 80356 | <1% | 124 | $829.90 | |
| 80354 | <1% | 124 | $820.25 | |
| 80365 | <1% | 122 | $810.85 | |
| 80355 | <1% | 108 | $798.95 | |
| 80366 | <1% | 97 | $665.85 | |
| 87481 | <1% | 440 | $616.96 | |
| 80362 | <1% | 75 | $569.35 | |
| 80323 | <1% | 20 | $552.00 | |
| 80369 | <1% | 83 | $511.45 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 130 | $428.09 |
| 80373 | <1% | 57 | $357.05 | |
| 87581 | <1% | 56 | $349.14 | |
| 86704 | <1% | 68 | $335.85 | |
| 86706 | <1% | 68 | $299.48 | |
| G0483 | 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; 22 or more drug class(es), including metabolite(s) if performed | <1% | 99 | $246.92 |
| 87340 | <1% | 64 | $234.53 | |
| 87511 | <1% | 708 | $211.56 | |
| 87653 | <1% | 55 | $176.82 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 38 | $129.33 |
| 87503 | <1% | 37 | $39.45 | |
| 84228 | 0% | 63 | $0.00 | |
| 82415 | 0% | 47 | $0.00 | |
| 82542 | 0% | 63 | $0.00 | |
| 99080 | 0% | 47 | $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.