Medicaid Provider Spending

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

PRIME LAB, INC.

NPI: 1245756212 · WESTLAKE VILLAGE, CA 91362 · Clinical Medical Laboratory · NPI assigned 08/21/2017

$3.93M
Total Medicaid Paid
131,431
Total Claims
49,220
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialMARTINYAN, POGOS (PRESIDENT/CEO)
NPI Enumeration Date08/21/2017

Related Entities

Other providers sharing the same authorized official: MARTINYAN, POGOS

ProviderCityStateTotal Paid
A-BIZ INC. VAN NUYS CA $6.97M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 12,541 $180K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 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 37,773 13,555 $615K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 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 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 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 2,077 1,842 $34K
0100U 81 81 $28K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 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 2,114 530 $14K
87486 934 869 $2K
87631 132 123 $2K
87581 934 869 $2K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 281 276 $1K
87481 299 297 $977.92
87640 450 442 $591.25
87551 448 440 $463.38
87500 299 297 $371.58
87653 299 297 $370.24
87541 440 432 $357.23
87561 448 440 $357.23
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 440 432 $357.23
87150 77 76 $263.54
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 65 59 $75.87
87634 65 59 $61.77