Medicaid Provider Spending

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

ULTRA MEDICAL LAB INC

NPI: 1124517784 · TORRANCE, CA 90503 · Clinical Medical Laboratory · NPI assigned 05/08/2018

$583K
Total Medicaid Paid
13,469
Total Claims
12,753
Beneficiaries
21
Codes Billed
2020-12
First Month
2022-08
Last Month

Provider Details

Authorized OfficialWANG, JENNIFER (OWNER)
NPI Enumeration Date05/08/2018

Related Entities

Other providers sharing the same authorized official: WANG, JENNIFER

ProviderCityStateTotal Paid
ASIAN AMERICAN SENIOR CITIZENS SERVICE CENTER, INC. SANTA ANA CA $174K
MONTEFIORE MEDICAL CENTER BRONX NY $93K
JENNIFER H WANG DPM PC AUSTIN TX $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 277 $5K
2021 7,388 $265K
2022 5,804 $312K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,443 1,089 $233K
87631 900 845 $48K
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 481 476 $39K
87150 392 365 $36K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 742 738 $30K
87481 657 638 $26K
87529 734 730 $24K
87634 756 752 $22K
87652 660 640 $15K
87640 763 751 $13K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 331 329 $12K
87486 804 748 $12K
87581 805 748 $12K
87541 803 748 $12K
87498 740 736 $12K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 733 729 $11K
87500 735 713 $11K
87641 635 628 $11K
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 119 118 $3K
80299 218 215 $253.68
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 18 17 $49.50