Medicaid Provider Spending

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

PONTIAC LABS, LLC

NPI: 1134670904 · PONTIAC, MI 48341 · Clinical Medical Laboratory · NPI assigned 10/17/2016

$10K
Total Medicaid Paid
362
Total Claims
357
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-04
Last Month

Provider Details

Authorized OfficialDAMRON, SCOTT (GENERAL COUNSEL)
NPI Enumeration Date10/17/2016

Related Entities

Other providers sharing the same authorized official: DAMRON, SCOTT

ProviderCityStateTotal Paid
CASTLE MEDICAL, LLC SMYRNA GA $71K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 362 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 97 95 $9K
80053 Comprehensive metabolic panel 66 66 $582.93
85025 Blood count; complete (CBC), automated, and automated differential WBC count 64 64 $223.20
87430 13 13 $118.62
81025 49 47 $94.80
84443 Thyroid stimulating hormone (TSH) 12 12 $74.43
81002 61 60 $25.30