PMH Laboratory INC
PMH Laboratory INC was paid $17.09M by Medicaid between Jul 2019 and Nov 2024, across 23 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 69% of everything it billed.
IRVINE, CA 92614
Next to other Clinical Medical Laboratory providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 478 | $3K | |
| 2020 | 33,542 | $1.12M | |
| 2021 | 263,383 | $5.74M | |
| 2022 | 391,203 | $9.06M | |
| 2023 | 38,020 | $1.16M | |
| 2024incomplete | 1,570 | $16K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 69% | 237,396 | 91,086 | $11.85M |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 18% | 225,399 | 85,425 | $3.08M |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 5.5% | 135,612 | 50,582 | $942K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 3.6% | 6,893 | 5,291 | $614K |
| 99072 | 1.9% | 109,018 | 41,806 | $327K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 4,368 | 1,936 | $164K |
| G2024 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source | <1% | 3,644 | 2,015 | $57K |
| 86769 | <1% | 1,685 | 1,325 | $43K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,251 | 1,009 | $12K |
| 86762 | <1% | 123 | 122 | $1K | |
| 99000 | <1% | 285 | 212 | $930.64 | |
| 80053 | Comprehensive metabolic panel | <1% | 268 | 259 | $569.99 |
11 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 93 | $440.74 |
| 36415 | Collection of venous blood by venipuncture | <1% | 767 | $436.13 |
| 80061 | Lipid panel | <1% | 58 | $341.66 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 80 | $311.41 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 30 | $248.52 |
| 86592 | <1% | 35 | $131.86 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 28 | $124.83 |
| 82950 | <1% | 15 | $56.55 | |
| 81000 | <1% | 44 | $8.84 | |
| 85652 | 0% | 51 | $0.00 | |
| 86141 | 0% | 53 | $0.00 |
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.