Medicaid Provider Spending

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

CENTRAL MEDICAL DIAGNOSTIC LABORATORY,INC.

NPI: 1144230665 · CYPRESS, CA 90630 · Clinical Medical Laboratory · NPI assigned 08/08/2006

$3K
Total Medicaid Paid
25
Total Claims
25
Beneficiaries
2
Codes Billed
2019-10
First Month
2019-10
Last Month

Provider Details

Authorized OfficialHISERODT, JOHN (PRESIDENT)
NPI Enumeration Date08/08/2006

Related Entities

Other providers sharing the same authorized official: HISERODT, JOHN

ProviderCityStateTotal Paid
DIAGNOSTIC LABORATORY SCIENCE, INC GARDEN GROVE CA $7.69M
PATHLAB SERVICES INC GARDEN GROVE CA $6.97M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 25 $3K

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 13 13 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 12 12 $702.35