Medicaid Provider Spending

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

DIAGNOSTIC AFFILIATES OF NORTHEAST HOU LLC

NPI: 1154930279 · KINGWOOD, TX 77339 · Clinical Medical Laboratory · NPI assigned 07/24/2020

$1.27M
Total Medicaid Paid
41,598
Total Claims
30,498
Beneficiaries
3
Codes Billed
2020-07
First Month
2023-02
Last Month

Provider Details

Authorized OfficialTARASENKO, IVAN (COO)
NPI Enumeration Date07/24/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 8,298 $239K
2021 24,073 $658K
2022 8,661 $350K
2023 566 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 18,585 13,426 $1.07M
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 13,390 10,523 $147K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 9,623 6,549 $53K