Medicaid Provider Spending

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

QUEST DIAGNOSTICS OF PENNSYLVANIA INC.

NPI: 1205854817 · TWINSBURG, OH 44087 · Clinical Medical Laboratory · NPI assigned 07/18/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOWLES, CHARLES controls 20+ related entities in our dataset. Read more

$2.56M
Total Medicaid Paid
290,160
Total Claims
243,798
Beneficiaries
189
Codes Billed
2018-01
First Month
2023-04
Last Month

Provider Details

Authorized OfficialBOWLES, CHARLES (VICE PRESIDENT)
Parent OrganizationQUEST DIAGNOSTICS INCORPORATED
NPI Enumeration Date07/18/2006

Related Entities

Other providers sharing the same authorized official: BOWLES, CHARLES

ProviderCityStateTotal Paid
QUEST DIAGNOSTICS LLC MARLBOROUGH MA $209.74M
QUEST DIAGNOSTICS OF PENNSYLVANIA, INC. PITTSBURGH PA $132.39M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC SEATTLE WA $109.23M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC PORTLAND OR $21.85M
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. BUFFALO NY $20.20M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC COLLEGEVILLE PA $12.52M
SOLSTAS LAB PARTNERS GROUP LLC GREENSBORO NC $11.62M
QUEST DIAGNOSTICS INCORPORATED MI FLINT MI $8.64M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC TUCKER GA $3.66M
UNILAB CORPORATION WEST HILLS CA $3.12M
QUEST DIAGNOSTICS INCORPORATED MD FALLS CHURCH VA $936K
QUEST DIAGNOSTICS LLC WALLINGFORD CT $706K
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. NORTH SYRACUSE NY $492K
SOLSTAS LAB PARTNERS, LLC KNOXVILLE TN $455K
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC NORRISTOWN PA $319K
UNILAB CORPORATION SAN JOSE CA $253K
UNILAB CORPORATION ORANGE CA $122K
QUEST DIAGNOSTICS LLC STRATFORD CT $103K
UNILAB CORPORATION BAKERSFIELD CA $53K
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC HORSHAM PA $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 186,554 $1.45M
2019 94,561 $1.06M
2020 8,457 $43K
2021 37 $163.24
2022 265 $845.03
2023 286 $130.34

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 26,836 12,731 $514K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 9,176 8,989 $161K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 9,151 8,965 $160K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 5,833 5,788 $85K
80053 Comprehensive metabolic panel 17,221 16,517 $77K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 3,898 3,837 $69K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 5,058 5,039 $66K
80061 Lipid panel 11,818 11,717 $63K
84443 Thyroid stimulating hormone (TSH) 10,166 10,027 $62K
80050 General health panel 2,626 2,620 $60K
87799 909 890 $57K
80321 3,568 1,850 $55K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 3,971 3,939 $53K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 17,717 16,292 $51K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,845 2,837 $44K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 2,991 2,153 $43K
80348 3,786 1,720 $41K
80359 5,218 2,234 $38K
83036 Hemoglobin; glycosylated (A1C) 7,152 7,082 $33K
80355 4,291 1,448 $30K
80354 4,124 1,525 $29K
88305 Level IV - Surgical pathology, gross and microscopic examination 661 605 $28K
86480 767 760 $28K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 523 515 $28K
87522 Neg quan hep c or qual rna 976 966 $24K
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 1,220 744 $23K
87086 Culture, bacterial; quantitative colony count, urine 5,213 5,061 $22K
80081 613 607 $22K
80074 1,011 1,006 $22K
86803 2,898 2,868 $21K
82607 2,397 2,380 $19K
87512 894 879 $19K
84439 3,783 3,731 $18K
80373 4,355 1,505 $18K
88141 980 971 $15K
36415 Collection of venous blood by venipuncture 23,059 20,990 $15K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 653 553 $14K
87088 3,293 3,213 $14K
80048 Basic metabolic panel (calcium, ionized) 3,369 2,778 $13K
80349 1,757 1,121 $13K
80346 948 659 $13K
80362 2,255 766 $12K
80361 1,400 993 $12K
82746 1,464 1,454 $12K
83655 1,386 1,361 $11K
84702 1,117 957 $11K
84153 1,005 993 $10K
87340 1,620 1,602 $9K
87070 1,805 1,762 $9K
84403 576 569 $8K
85027 2,569 2,477 $8K
80335 1,134 480 $7K
82728 1,163 1,140 $7K
86696 482 457 $7K
86592 2,735 2,712 $6K
86706 1,018 1,009 $6K
86787 714 709 $6K
86704 878 866 $6K
81001 3,373 3,204 $6K
86780 824 815 $6K
84146 447 441 $5K
86708 722 715 $5K
87186 1,334 1,306 $5K
88142 328 327 $5K
87077 1,205 1,185 $5K
82043 1,750 1,742 $5K
86003 132 117 $5K
80360 950 412 $5K
86762 490 488 $5K
83001 397 394 $5K
80353 676 517 $4K
82570 1,702 1,683 $4K
83970 200 197 $4K
87481 425 419 $4K
87902 29 29 $4K
83540 1,586 1,568 $4K
83550 1,185 1,169 $4K
87081 1,193 1,176 $4K
84402 256 253 $4K
86038 789 784 $4K
86695 452 432 $4K
80324 538 407 $4K
82670 225 224 $4K
87536 101 99 $4K
84481 460 456 $4K
80366 1,464 618 $4K
80372 1,719 634 $4K
82274 451 450 $3K
86765 348 346 $3K
84436 1,026 1,018 $3K
80369 1,064 470 $3K
83002 276 273 $3K
87255 200 198 $3K
82105 355 353 $3K
86735 345 344 $3K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 15 15 $3K
82677 170 168 $2K
83021 216 214 $2K
82950 714 708 $2K
80076 641 631 $2K
86140 1,079 1,057 $2K
82627 154 154 $2K
86376 235 233 $2K
85652 1,676 1,649 $2K
83735 553 527 $2K
80368 962 405 $2K
82150 485 441 $2K
82248 598 591 $2K
80339 161 152 $2K
84550 691 676 $2K
86431 599 595 $2K
82652 123 120 $1K
86336 173 171 $1K
85610 926 660 $1K
80055 31 31 $1K
82977 350 346 $1K
87650 88 86 $1K
80164 299 292 $1K
84144 127 124 $1K
86317 167 162 $1K
83690 324 300 $1K
87147 458 451 $1K
84480 237 236 $1K
82784 132 129 $1K
83013 25 24 $1K
84450 302 298 $1K
87209 169 138 $1K
80184 158 130 $974.34
82947 377 374 $909.05
84460 301 298 $905.35
84479 352 348 $861.80
87329 178 145 $814.17
82785 131 128 $811.23
86235 29 29 $788.26
87480 72 71 $766.42
87510 72 71 $766.42
87660 73 72 $757.77
87338 83 82 $727.00
86039 131 129 $650.58
87177 169 138 $570.65
87102 134 132 $569.34
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 15 15 $555.84
86800 53 52 $535.86
83516 81 80 $517.60
86200 89 89 $510.90
85018 374 366 $507.33
82565 157 150 $477.01
84156 192 182 $438.29
82951 75 73 $419.04
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 67 67 $406.08
84165 92 90 $401.48
86850 159 156 $397.46
86901 180 178 $388.23
82550 115 110 $375.40
84155 166 164 $356.42
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 1,228 602 $352.20
80178 92 88 $351.30
84154 30 30 $320.97
84100 129 121 $295.07
86334 29 27 $287.38
85014 193 187 $284.01
82247 114 110 $280.68
84703 53 52 $269.31
82533 28 28 $251.55
80323 31 18 $245.92
81003 236 234 $235.00
80356 54 42 $227.66
80365 44 26 $222.81
87205 95 83 $221.72
84520 73 73 $219.85
87150 13 13 $181.26
80358 64 50 $175.67
86900 91 91 $172.92
85730 70 70 $172.03
82040 61 60 $169.14
84270 13 13 $157.72
82310 113 112 $146.05
86705 24 24 $139.87
87625 12 12 $138.67
80069 31 31 $125.68
82465 48 48 $97.76
86709 17 17 $88.74
84075 29 27 $87.35
83525 12 12 $86.75
83721 33 33 $84.40
85041 33 32 $56.91
83615 15 15 $38.60
85045 16 14 $30.12
85048 18 18 $26.38