Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lab

100 Plaza Clinical Lab INC

100 Plaza Clinical Lab INC was paid $64K by Medicaid between Jan 2018 and Jan 2021, across 25 billing codes. Its largest line is 85025, Blood count; complete (CBC), automated, and automated differential WBC count — 30% of everything it billed.

33Billing provider info100 PLAZA CLINICAL LAB INC
LOS ANGELES, CA 90024
33aNPI1194834028assigned 08/30/2006
28Total paid$64K
24GClaims30,560
24DCodes billed25
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#351 of 561
Median peer was paid$222K
This provider vs. median0.3×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201813,323$23K
201914,539$27K
20202,642$15K
202156$361.12
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
85025 Blood count; complete (CBC), automated, and automated differential WBC count 30% 5,929 4,104 $19K
80053 Comprehensive metabolic panel 20% 3,204 2,600 $13K
80048 Basic metabolic panel (calcium, ionized) 11% 2,315 1,537 $7K
84134 8.6% 660 582 $6K
83036 Hemoglobin; glycosylated (A1C) 6.3% 1,276 1,160 $4K
84443 Thyroid stimulating hormone (TSH) 5.7% 965 875 $4K
80061 Lipid panel 4.2% 1,015 946 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2.9% 220 207 $2K
87086 Culture, bacterial; quantitative colony count, urine 2.1% 491 440 $1K
81001 1.9% 680 611 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.1% 14 14 $718.34
85610 <1% 893 337 $626.74
13 more codes
36415 Collection of venous blood by venipuncture <1% 5,968 $573.21
83540 <1% 174 $560.08
83550 <1% 142 $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 <1% 6,116 $441.99
82728 <1% 66 $304.99
80159 <1% 21 $300.78
80164 <1% 150 $258.86
87088 <1% 60 $120.14
80076 <1% 56 $74.28
87186 <1% 33 $67.21
83735 <1% 63 $29.44
82607 <1% 27 $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) <1% 22 $8.00

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 officialPARSA, BAHRAM (DIRECTOR)