Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Twinsburg › NPI 1205854817
Lab

Quest Diagnostics of Pennsylvania INC.

Quest Diagnostics of Pennsylvania INC. was paid $2.56M by Medicaid between Jan 2018 and Apr 2023, across 189 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 20% of everything it billed.

33Billing provider infoQUEST DIAGNOSTICS OF PENNSYLVANIA INC.
TWINSBURG, OH 44087
33aNPI1205854817assigned 07/18/2006
28Total paid$2.56M
24GClaims290,160
24DCodes billed189
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers

Next to other Clinical Medical Laboratory providers in Ohio

Rank by total paid#30 of 116
Median peer was paid$313K
This provider vs. median8.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official BOWLES, CHARLES controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
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
2018186,554$1.45M
201994,561$1.06M
20208,457$43K
202137$163.24
2022265$845.03
2023286$130.34
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 20% 26,836 12,731 $514K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 6.3% 9,176 8,989 $161K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6.2% 9,151 8,965 $160K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3.3% 5,833 5,788 $85K
80053 Comprehensive metabolic panel 3.0% 17,221 16,517 $77K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2.7% 3,898 3,837 $69K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 2.6% 5,058 5,039 $66K
80061 Lipid panel 2.5% 11,818 11,717 $63K
84443 Thyroid stimulating hormone (TSH) 2.4% 10,166 10,027 $62K
80050 General health panel 2.3% 2,626 2,620 $60K
87799 2.2% 909 890 $57K
80321 2.1% 3,568 1,850 $55K
177 more codes
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2.1% 3,971 $53K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.0% 17,717 $51K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1.7% 2,845 $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 1.7% 2,991 $43K
80348 1.6% 3,786 $41K
80359 1.5% 5,218 $38K
83036 Hemoglobin; glycosylated (A1C) 1.3% 7,152 $33K
80355 1.2% 4,291 $30K
80354 1.1% 4,124 $29K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.1% 661 $28K
86480 1.1% 767 $28K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1.1% 523 $28K
87522 Neg quan hep c or qual rna <1% 976 $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% 1,220 $23K
87086 Culture, bacterial; quantitative colony count, urine <1% 5,213 $22K
80081 <1% 613 $22K
80074 <1% 1,011 $22K
86803 <1% 2,898 $21K
82607 <1% 2,397 $19K
87512 <1% 894 $19K
84439 <1% 3,783 $18K
80373 <1% 4,355 $18K
88141 <1% 980 $15K
36415 Collection of venous blood by venipuncture <1% 23,059 $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 <1% 653 $14K
87088 <1% 3,293 $14K
80048 Basic metabolic panel (calcium, ionized) <1% 3,369 $13K
80349 <1% 1,757 $13K
80346 <1% 948 $13K
80362 <1% 2,255 $12K
80361 <1% 1,400 $12K
82746 <1% 1,464 $12K
83655 <1% 1,386 $11K
84702 <1% 1,117 $11K
84153 <1% 1,005 $10K
87340 <1% 1,620 $9K
87070 <1% 1,805 $9K
84403 <1% 576 $8K
85027 <1% 2,569 $8K
80335 <1% 1,134 $7K
82728 <1% 1,163 $7K
86696 <1% 482 $7K
86592 <1% 2,735 $6K
86706 <1% 1,018 $6K
86787 <1% 714 $6K
86704 <1% 878 $6K
81001 <1% 3,373 $6K
86780 <1% 824 $6K
84146 <1% 447 $5K
86708 <1% 722 $5K
87186 <1% 1,334 $5K
88142 <1% 328 $5K
87077 <1% 1,205 $5K
82043 <1% 1,750 $5K
86003 <1% 132 $5K
80360 <1% 950 $5K
86762 <1% 490 $5K
83001 <1% 397 $5K
80353 <1% 676 $4K
82570 <1% 1,702 $4K
83970 <1% 200 $4K
87481 <1% 425 $4K
87902 <1% 29 $4K
83540 <1% 1,586 $4K
83550 <1% 1,185 $4K
87081 <1% 1,193 $4K
84402 <1% 256 $4K
86038 <1% 789 $4K
86695 <1% 452 $4K
80324 <1% 538 $4K
82670 <1% 225 $4K
87536 <1% 101 $4K
84481 <1% 460 $4K
80366 <1% 1,464 $4K
80372 <1% 1,719 $4K
82274 <1% 451 $3K
86765 <1% 348 $3K
84436 <1% 1,026 $3K
80369 <1% 1,064 $3K
83002 <1% 276 $3K
87255 <1% 200 $3K
82105 <1% 355 $3K
86735 <1% 345 $3K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 15 $3K
82677 <1% 170 $2K
83021 <1% 216 $2K
82950 <1% 714 $2K
80076 <1% 641 $2K
86140 <1% 1,079 $2K
82627 <1% 154 $2K
86376 <1% 235 $2K
85652 <1% 1,676 $2K
83735 <1% 553 $2K
80368 <1% 962 $2K
82150 <1% 485 $2K
82248 <1% 598 $2K
80339 <1% 161 $2K
84550 <1% 691 $2K
86431 <1% 599 $2K
82652 <1% 123 $1K
86336 <1% 173 $1K
85610 <1% 926 $1K
80055 <1% 31 $1K
82977 <1% 350 $1K
87650 <1% 88 $1K
80164 <1% 299 $1K
84144 <1% 127 $1K
86317 <1% 167 $1K
83690 <1% 324 $1K
87147 <1% 458 $1K
84480 <1% 237 $1K
82784 <1% 132 $1K
83013 <1% 25 $1K
84450 <1% 302 $1K
87209 <1% 169 $1K
80184 <1% 158 $974.34
82947 <1% 377 $909.05
84460 <1% 301 $905.35
84479 <1% 352 $861.80
87329 <1% 178 $814.17
82785 <1% 131 $811.23
86235 <1% 29 $788.26
87480 <1% 72 $766.42
87510 <1% 72 $766.42
87660 <1% 73 $757.77
87338 <1% 83 $727.00
86039 <1% 131 $650.58
87177 <1% 169 $570.65
87102 <1% 134 $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 <1% 15 $555.84
86800 <1% 53 $535.86
83516 <1% 81 $517.60
86200 <1% 89 $510.90
85018 <1% 374 $507.33
82565 <1% 157 $477.01
84156 <1% 192 $438.29
82951 <1% 75 $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 <1% 67 $406.08
84165 <1% 92 $401.48
86850 <1% 159 $397.46
86901 <1% 180 $388.23
82550 <1% 115 $375.40
84155 <1% 166 $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% 1,228 $352.20
80178 <1% 92 $351.30
84154 <1% 30 $320.97
84100 <1% 129 $295.07
86334 <1% 29 $287.38
85014 <1% 193 $284.01
82247 <1% 114 $280.68
84703 <1% 53 $269.31
82533 <1% 28 $251.55
80323 <1% 31 $245.92
81003 <1% 236 $235.00
80356 <1% 54 $227.66
80365 <1% 44 $222.81
87205 <1% 95 $221.72
84520 <1% 73 $219.85
87150 <1% 13 $181.26
80358 <1% 64 $175.67
86900 <1% 91 $172.92
85730 <1% 70 $172.03
82040 <1% 61 $169.14
84270 <1% 13 $157.72
82310 <1% 113 $146.05
86705 <1% 24 $139.87
87625 <1% 12 $138.67
80069 <1% 31 $125.68
82465 <1% 48 $97.76
86709 <1% 17 $88.74
84075 <1% 29 $87.35
83525 <1% 12 $86.75
83721 <1% 33 $84.40
85041 <1% 33 $56.91
83615 <1% 15 $38.60
85045 <1% 16 $30.12
85048 <1% 18 $26.38

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 officialBOWLES, CHARLES (VICE PRESIDENT)
Parent organizationQUEST DIAGNOSTICS INCORPORATED
Same official

Other billing entities under BOWLES, CHARLES

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.