Lab
Main Street Clinical Laboratory, INC
Main Street Clinical Laboratory, INC was paid $23K by Medicaid between Jan 2018 and Feb 2019, across 18 billing codes. Its largest line is 80053, Comprehensive metabolic panel — 21% of everything it billed.
33Billing provider infoMAIN STREET CLINICAL LABORATORY, INC
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
33aNPI1174859714assigned 11/01/2009
33bProvider typeClinical Medical Laboratory
28Total paid$23K
24GClaims16,548
24DCodes billed18
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Clinical Medical Laboratory providers in Mississippi
Rank by total paid#24 of 35
Median peer was paid$136K
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 15,193 | $21K | |
| 2019 | 1,355 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80053 | Comprehensive metabolic panel | 21% | 1,312 | 1,165 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 15% | 1,593 | 1,245 | $3K |
| 84443 | Thyroid stimulating hormone (TSH) | 9.8% | 387 | 364 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | 9.7% | 590 | 551 | $2K |
| 80048 | Basic metabolic panel (calcium, ionized) | 8.0% | 965 | 656 | $2K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 7.2% | 265 | 240 | $2K |
| 80061 | Lipid panel | 6.8% | 330 | 305 | $2K |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 6.8% | 4,392 | 2,538 | $2K |
| 85027 | 4.9% | 523 | 426 | $1K | |
| 80164 | 3.4% | 192 | 165 | $775.88 | |
| 85610 | 2.4% | 719 | 192 | $532.45 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.6% | 28 | 21 | $360.95 |
6 more codes
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 1.2% | 3,621 | $278.75 |
| 83735 | 1.0% | 72 | $232.68 | |
| 81001 | <1% | 375 | $95.75 | |
| 87503 | <1% | 28 | $88.08 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,001 | $83.12 |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | <1% | 155 | $6.71 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSCHRYVER, JAY (VP OF OPERATIONS)