Medicaid Provider Spending

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

LA GOOD SAMARITAN PATHOLOGY MEDICAL GROUP, INC.

NPI: 1336100759 · LONG BEACH, CA 90806 · Clinical Medical Laboratory · NPI assigned 03/28/2006

$15K
Total Medicaid Paid
908
Total Claims
907
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialKHIAL, SHAHRAM (PRESIDENT/OWNER)
NPI Enumeration Date03/28/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 908 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 313 313 $13K
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 97 97 $1K
84311 157 157 $702.59
82570 158 157 $511.04
83986 57 57 $168.15
80171 96 96 $103.99
84315 30 30 $8.39