Medicaid Provider Spending

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

MAIN STREET CLINICAL LABORATORY, INC

NPI: 1174859714 · SOUTHAVEN, MS 38671 · Clinical Medical Laboratory · NPI assigned 11/01/2009

$23K
Total Medicaid Paid
16,548
Total Claims
11,100
Beneficiaries
18
Codes Billed
2018-01
First Month
2019-02
Last Month

Provider Details

Authorized OfficialSCHRYVER, JAY (VP OF OPERATIONS)
NPI Enumeration Date11/01/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,193 $21K
2019 1,355 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80053 Comprehensive metabolic panel 1,312 1,165 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,593 1,245 $3K
84443 Thyroid stimulating hormone (TSH) 387 364 $2K
83036 Hemoglobin; glycosylated (A1C) 590 551 $2K
80048 Basic metabolic panel (calcium, ionized) 965 656 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 265 240 $2K
80061 Lipid panel 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 4,392 2,538 $2K
85027 523 426 $1K
80164 192 165 $775.88
85610 719 192 $532.45
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 28 21 $360.95
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) 3,621 2,082 $278.75
83735 72 56 $232.68
81001 375 342 $95.75
87503 28 21 $88.08
36415 Collection of venous blood by venipuncture 1,001 608 $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 155 123 $6.71