PERSONALIZED PEDIATRIC LABORATORIES LLC
NPI: 1194416628
· SANTA MONICA, CA 90404
· Clinical Medical Laboratory
· NPI assigned 05/16/2023
Provider Details
| Authorized Official | MANALO, MICHELLE (LABORATORY SUPERVISOR) |
| NPI Enumeration Date | 05/16/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
130 |
$7K |
| 2024 |
259 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
192 |
184 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
197 |
191 |
$9K |