Medicaid Provider Spending

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

100 PLAZA CLINICAL LAB INC

NPI: 1194834028 · LOS ANGELES, CA 90024 · Clinical Medical Laboratory · NPI assigned 08/30/2006

$64K
Total Medicaid Paid
30,560
Total Claims
21,294
Beneficiaries
25
Codes Billed
2018-01
First Month
2021-01
Last Month

Provider Details

Authorized OfficialPARSA, BAHRAM (DIRECTOR)
NPI Enumeration Date08/30/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13,323 $23K
2019 14,539 $27K
2020 2,642 $15K
2021 56 $361.12

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,929 4,104 $19K
80053 Comprehensive metabolic panel 3,204 2,600 $13K
80048 Basic metabolic panel (calcium, ionized) 2,315 1,537 $7K
84134 660 582 $6K
83036 Hemoglobin; glycosylated (A1C) 1,276 1,160 $4K
84443 Thyroid stimulating hormone (TSH) 965 875 $4K
80061 Lipid panel 1,015 946 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 220 207 $2K
87086 Culture, bacterial; quantitative colony count, urine 491 440 $1K
81001 680 611 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 14 14 $718.34
85610 893 337 $626.74
36415 Collection of venous blood by venipuncture 5,968 3,550 $573.21
83540 174 147 $560.08
83550 142 122 $526.18
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 6,116 3,632 $441.99
82728 66 62 $304.99
80159 21 19 $300.78
80164 150 122 $258.86
87088 60 54 $120.14
80076 56 50 $74.28
87186 33 30 $67.21
83735 63 53 $29.44
82607 27 25 $26.87
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) 22 15 $8.00