Lab
Prime Lab, INC.
Prime Lab, INC. was paid $3.93M by Medicaid between Jan 2018 and Sep 2024, across 24 billing codes. Its largest line is U0004, 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r — 51% of everything it billed.
33Billing provider infoPRIME LAB, INC.
WESTLAKE VILLAGE, CA 91362
WESTLAKE VILLAGE, CA 91362
33aNPI1245756212assigned 08/21/2017
33bProvider typeClinical Medical Laboratory
28Total paid$3.93M
24GClaims131,431
24DCodes billed24
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in California
Rank by total paid#121 of 561
Median peer was paid$222K
This provider vs. median18×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,441 | $7K | |
| 2019 | 62 | $2K | |
| 2020 | 6,521 | $212K | |
| 2021 | 23,565 | $562K | |
| 2022 | 49,465 | $1.76M | |
| 2023 | 36,836 | $1.20M | |
| 2024incomplete | 12,541 | $180K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 51% | 31,900 | 9,798 | $1.99M |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 16% | 37,773 | 13,555 | $615K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 14% | 20,941 | 5,233 | $536K |
| 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 | 8.6% | 22,061 | 7,277 | $337K |
| 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 | 8.6% | 7,209 | 4,270 | $336K |
| 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 | <1% | 2,077 | 1,842 | $34K |
| 0100U | <1% | 81 | 81 | $28K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 1,664 | 1,226 | $27K |
| 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% | 2,114 | 530 | $14K |
| 87486 | <1% | 934 | 869 | $2K | |
| 87631 | <1% | 132 | 123 | $2K | |
| 87581 | <1% | 934 | 869 | $2K |
12 more codes
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 281 | $1K |
| 87481 | <1% | 299 | $977.92 | |
| 87640 | <1% | 450 | $591.25 | |
| 87551 | <1% | 448 | $463.38 | |
| 87500 | <1% | 299 | $371.58 | |
| 87653 | <1% | 299 | $370.24 | |
| 87541 | <1% | 440 | $357.23 | |
| 87561 | <1% | 448 | $357.23 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 440 | $357.23 |
| 87150 | <1% | 77 | $263.54 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 65 | $75.87 |
| 87634 | <1% | 65 | $61.77 |
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 officialMARTINYAN, POGOS (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| A-Biz INC. | Van Nuys, CA | $6.97M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.