COUNTY OF FRESNO
NPI: 1265514210
· FRESNO, CA 93721
· Clinical Medical Laboratory
· NPI assigned 10/19/2006
$196.02
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: POMAVILLE, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
207 |
$196.02 |
| 2019 |
34 |
$0.00 |
| 2020 |
39 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 87116 |
|
70 |
49 |
$90.31 |
| 87015 |
|
71 |
50 |
$57.53 |
| 87206 |
|
66 |
49 |
$48.18 |
| 90649 |
|
13 |
13 |
$0.00 |
| 90633 |
|
21 |
21 |
$0.00 |
| 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 |
39 |
37 |
$0.00 |