Medicaid Provider Spending

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

1124417357

NPI: 1124417357

Deactivated NPI · This NPI was deactivated on 07/08/2025.
$76.74M
Total Medicaid Paid
1,784,652
Total Claims
1,381,586
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 1,077 $17K

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 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 582,974 467,764 $8.57M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 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 1,118 916 $59K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,329 1,208 $47K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 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 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 316 269 $33K
87521 Neg quan hep c or qual rna 1,215 1,085 $11K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 5,558 808 $10K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,751 1,490 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,585 1,367 $5K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 540 459 $5K
80325 121 114 $4K
87529 783 336 $3K
80348 122 112 $2K
80321 71 63 $2K
87507 139 139 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,560 1,351 $1K
87632 589 565 $1K
80346 123 115 $926.65
80361 127 118 $907.35
80353 131 122 $897.45
80358 124 116 $839.55
80359 125 116 $829.90
80356 124 115 $829.90
80354 124 115 $820.25
80365 122 117 $810.85
80355 108 98 $798.95
80366 97 92 $665.85
87481 440 396 $616.96
80362 75 71 $569.35
80323 20 16 $552.00
80369 83 80 $511.45
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 130 122 $428.09
80373 57 56 $357.05
87581 56 53 $349.14
86704 68 67 $335.85
86706 68 67 $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 99 63 $246.92
87340 64 63 $234.53
87511 708 621 $211.56
87653 55 54 $176.82
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 38 34 $129.33
87503 37 33 $39.45
84228 63 33 $0.00
82415 47 19 $0.00
82542 63 33 $0.00
99080 47 43 $0.00