1265587000

1265587000 was paid $336K by Medicaid between Jan 2018 and Jun 2021, across 59 billing codes. Its largest line is 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 — 29% of everything it billed.

33Billing provider info1265587000

33aNPI1265587000

33bProvider type—

28Total paid$336K

24GClaims106,150

24DCodes billed59

24AFirst – last monthJan 2018 – Jun 2021

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	10,792	$52K
2019	21,161	$59K
2020	48,074	$140K
2021	26,123	$85K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	29%	18,535	11,269	$98K
80053	Comprehensive metabolic panel	10%	8,165	6,808	$34K
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	7.0%	497	163	$24K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	6.9%	11,314	8,492	$23K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	6.6%	2,537	2,370	$22K
84443	Thyroid stimulating hormone (TSH)	5.6%	4,542	4,275	$19K
80061	Lipid panel	4.2%	4,520	4,294	$14K
85610		3.7%	7,323	3,311	$12K
83036	Hemoglobin; glycosylated (A1C)	3.5%	4,191	3,977	$12K
80048	Basic metabolic panel (calcium, ionized)	2.9%	3,259	2,253	$10K
82607		2.6%	2,185	2,094	$9K
82746		2.3%	1,874	1,798	$8K

47 more codes

36415	Collection of venous blood by venipuncture	1.8%	15,434	$6K
G0471	Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha)	1.1%	3,849	$4K
83880		1.1%	446	$4K
82652		<1%	163	$3K
83735		<1%	1,097	$3K
82728		<1%	689	$3K
84439		<1%	867	$3K
87086	Culture, bacterial; quantitative colony count, urine	<1%	2,338	$2K
84466		<1%	646	$2K
83970		<1%	189	$2K
84436		<1%	959	$2K
80076		<1%	709	$2K
83615		<1%	532	$2K
80164		<1%	130	$2K
81001		<1%	830	$1K
84479		<1%	630	$1K
83540		<1%	820	$1K
87186		<1%	981	$880.29
81000		<1%	2,095	$832.99
87077		<1%	989	$709.61
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%	71	$698.88
80069		<1%	31	$638.68
86140		<1%	557	$546.82
84481		<1%	95	$401.09
82043		<1%	439	$369.05
86803		<1%	31	$239.05
82570		<1%	284	$221.33
86706		<1%	25	$211.99
84153		<1%	29	$208.43
84100		<1%	198	$199.72
80177		<1%	16	$170.50
87340		<1%	30	$170.29
86480		<1%	13	$169.58
85652		<1%	91	$140.22
86769		<1%	28	$128.54
84134		<1%	31	$120.65
84550		<1%	163	$76.10
G0103	Prostate cancer screening; prostate specific antigen test (psa)	<1%	13	$75.76
82272		<1%	45	$72.65
G2024	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source	<1%	12	$61.08
82550		<1%	60	$52.87
84156		<1%	86	$42.32
84480		<1%	46	$26.34
85027		<1%	100	$19.75
85651		0%	177	$0.00
87070		0%	19	$0.00
99080		0%	125	$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.