Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Performance Laboratories LLC

Performance Laboratories LLC was paid $386K by Medicaid between Jan 2018 and Aug 2019, across 29 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 37% of everything it billed.

33Billing provider infoPERFORMANCE LABORATORIES LLC
OKLAHOMA CITY, OK 73102
33aNPI1245657675assigned 03/24/2014
28Total paid$386K
24GClaims41,857
24DCodes billed29
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers

Next to other Clinical Medical Laboratory providers in Oklahoma

Rank by total paid#19 of 46
Median peer was paid$248K
This provider vs. median1.6×

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$50K$100K2018201920202021202220232024
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
201823,146$191K
201918,711$195K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 37% 8,688 2,694 $142K
81408 9.9% 2,049 1,734 $38K
81162 9.1% 758 747 $35K
81201 7.5% 1,228 1,217 $29K
81292 6.2% 1,298 1,286 $24K
81321 5.6% 1,276 1,264 $22K
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 5.5% 5,659 1,834 $21K
81317 4.2% 1,262 1,251 $16K
81405 2.1% 1,310 1,251 $8K
81404 2.0% 1,243 1,230 $8K
81298 1.9% 1,315 1,303 $7K
81401 1.3% 916 904 $5K
17 more codes
81406 1.1% 1,326 $4K
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 1.1% 1,340 $4K
81295 <1% 1,315 $4K
81324 <1% 926 $3K
81403 <1% 1,283 $2K
81225 <1% 847 $2K
81226 <1% 849 $2K
81227 <1% 847 $1K
81328 <1% 851 $1K
81231 <1% 848 $1K
81230 <1% 846 $1K
81241 <1% 851 $1K
81240 <1% 851 $1K
81291 <1% 849 $1K
81257 <1% 950 $624.20
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 0% 34 $0.00
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 0% 42 $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 officialMUSTAFA, SAMIYA (OWNER/CEO)
Same official

Other billing entities under MUSTAFA, SAMIYA

Full network →
ProviderLocationPaid
Pathway Diagnostics LLCPicayune, MS$548K
Lazarus Services, LLCNew Orleans, LA$0.00

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