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

33Billing provider infoPMH LABORATORY INC
IRVINE, CA 92614
33aNPI1205362522assigned 05/05/2017
28Total paid$17.09M
24GClaims728,196
24DCodes billed23
24AFirst – last monthJul 2019 – Nov 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#52 of 561
Median peer was paid$222K
This provider vs. median77×

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$1.0M$2.0M2018201920202021202220232024
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
2019478$3K
202033,542$1.12M
2021263,383$5.74M
2022391,203$9.06M
202338,020$1.16M
2024incomplete1,570$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialHEDGE, DESIREE (PRESIDENT)