1255454712

1255454712 was paid $82K by Medicaid between Jan 2018 and Sep 2022, across 36 billing codes. Its largest line is 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 — 60% of everything it billed.

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	3,319	$18.00
2019	6,004	$508.09
2020	6,888	$7K
2021	8,045	$45K
2022	5,434	$29K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	60%	1,207	937	$50K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	17%	666	518	$14K
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	10%	888	59	$8K
80053	Comprehensive metabolic panel	2.6%	3,043	2,073	$2K
87801	Infectious agent detection by nucleic acid; amplified probe, multiple organisms	1.7%	138	55	$1K
87529		1.3%	113	58	$1K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	1,022	648	$755.87
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%	4,384	2,627	$506.29
87481		<1%	73	42	$442.26
87653		<1%	95	53	$425.16
87641		<1%	97	56	$425.16
87496		<1%	94	55	$421.20

24 more codes

87640		<1%	92	$401.54
87532		<1%	96	$397.80
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	<1%	1,012	$375.00
82607		<1%	1,704	$329.85
84443	Thyroid stimulating hormone (TSH)	<1%	2,323	$309.85
80050	General health panel	<1%	28	$241.12
80061	Lipid panel	<1%	916	$195.13
87511		<1%	34	$187.20
83036	Hemoglobin; glycosylated (A1C)	<1%	945	$159.80
87186		<1%	101	$103.35
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	3,502	$96.93
87150		<1%	116	$69.18
81001		<1%	402	$63.14
82044		<1%	378	$56.14
87088		<1%	324	$44.06
83735		<1%	38	$41.55
84439		<1%	1,075	$19.03
82570		0%	392	$0.00
83880		0%	20	$0.00
36415	Collection of venous blood by venipuncture	0%	4,134	$0.00
80048	Basic metabolic panel (calcium, ionized)	0%	56	$0.00
82746		0%	40	$0.00
87500		0%	106	$0.00
87077		0%	36	$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.