Criterion Chemistries, LLC

Criterion Chemistries, LLC was paid $514K by Medicaid between Aug 2021 and Oct 2023, across 17 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 — 71% of everything it billed.

Compared with peers

Next to other Clinical Medical Laboratory providers in Alabama

Rank by total paid#24 of 61

Median peer was paid$46K

This provider vs. median11×

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
2021	1,119	$21K
2022	30,160	$437K
2023	6,896	$56K

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	71%	12,760	3,087	$367K
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	19%	12,034	2,726	$96K
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	7.3%	9,516	2,045	$37K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	633	255	$4K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	1,046	384	$2K
80053	Comprehensive metabolic panel	<1%	535	206	$2K
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	<1%	338	13	$1K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	98	35	$1K
80061	Lipid panel	<1%	315	122	$1K
80048	Basic metabolic panel (calcium, ionized)	<1%	423	140	$654.90
84443	Thyroid stimulating hormone (TSH)	<1%	88	30	$299.45
83036	Hemoglobin; glycosylated (A1C)	<1%	114	39	$294.23

5 more codes

80164		<1%	35	$132.54
81003		<1%	131	$127.50
87109		<1%	20	$105.00
87086	Culture, bacterial; quantitative colony count, urine	<1%	32	$40.00
83037		0%	57	$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.

From NPPES

Who's on the registration

Authorized officialFORKE, ASHLEY (DIRECTOR)