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

P & C Labs, LLC

P & C Labs, LLC was paid $18.00M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 50% of everything it billed.

33Billing provider infoP & C LABS, LLC
LEXINGTON, KY 40503
33aNPI1205835600assigned 07/18/2005
28Total paid$18.00M
24GClaims373,166
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Kentucky

Rank by total paid#1 of 27
Median peer was paid$139K
This provider vs. median130×

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$200K$400K2018201920202021202220232024
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
201849,447$2.07M
201951,524$2.37M
202045,119$2.10M
202148,243$2.42M
202253,171$2.62M
202369,838$3.51M
2024incomplete55,824$2.90M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 50% 93,484 85,951 $8.92M
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 11% 82,730 78,338 $1.98M
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 6.1% 34,073 32,379 $1.09M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5.3% 29,234 27,505 $961K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5.3% 29,142 27,428 $959K
88304 4.7% 20,802 19,134 $845K
88307 3.0% 3,031 2,953 $534K
88342 2.2% 6,786 6,347 $399K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2.0% 11,824 11,116 $358K
88141 1.7% 20,895 19,720 $311K
88173 1.4% 2,236 2,109 $245K
88341 1.1% 1,682 1,598 $195K
22 more codes
88142 1.0% 9,998 $187K
87481 <1% 5,911 $176K
88112 <1% 1,771 $150K
87625 <1% 3,343 $116K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 743 $103K
87511 <1% 3,014 $97K
88312 <1% 981 $73K
88185 <1% 245 $65K
88302 <1% 1,428 $55K
81513 <1% 1,760 $46K
85060 <1% 2,554 $34K
88300 <1% 2,125 $23K
88189 <1% 317 $22K
88360 <1% 143 $19K
88311 <1% 866 $11K
88313 <1% 121 $7K
88184 <1% 247 $7K
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision <1% 1,515 $2K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 79 $1K
88172 <1% 30 $1K
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test <1% 30 $112.65
G9785 Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or melanoma (to include in situ disease) sent from the pathologist/ dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist 0% 26 $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 officialLOZANO, RICHARD (PRESIDENT)