Lab
Personalized Pediatric Laboratories LLC
Personalized Pediatric Laboratories LLC was paid $22K by Medicaid between Nov 2023 and Apr 2024, across 2 billing codes. Its largest line is 87633, Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets — 61% of everything it billed.
33Billing provider infoPERSONALIZED PEDIATRIC LABORATORIES LLC
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
33aNPI1194416628assigned 05/16/2023
33bProvider typeClinical Medical Laboratory
28Total paid$22K
24GClaims389
24DCodes billed2
24AFirst – last monthNov 2023 – Apr 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in California
Rank by total paid#397 of 561
Median peer was paid$222K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 130 | $7K | |
| 2024incomplete | 259 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 61% | 192 | 184 | $14K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 39% | 197 | 191 | $9K |
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 officialMANALO, MICHELLE (LABORATORY SUPERVISOR)