Medicaid Provider Spending

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

QUEST DIAGNOSTICS OF PENNSYLVANIA INC.

NPI: 1336167964 · NORTH SYRACUSE, NY 13212 · Clinical Medical Laboratory · NPI assigned 07/18/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOWLES, CHARLES controls 20+ related entities in our dataset. Read more

$492K
Total Medicaid Paid
11,919
Total Claims
10,151
Beneficiaries
34
Codes Billed
2018-01
First Month
2019-09
Last Month

Provider Details

Authorized OfficialBOWLES, CHARLES (VICE PRESIDENT)
Parent OrganizationQUEST DIAGNOSTICS INCORPORATED
NPI Enumeration Date07/18/2006

Related Entities

Other providers sharing the same authorized official: BOWLES, CHARLES

ProviderCityStateTotal Paid
QUEST DIAGNOSTICS LLC MARLBOROUGH MA $209.74M
QUEST DIAGNOSTICS OF PENNSYLVANIA, INC. PITTSBURGH PA $132.39M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC SEATTLE WA $109.23M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC PORTLAND OR $21.85M
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. BUFFALO NY $20.20M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC COLLEGEVILLE PA $12.52M
SOLSTAS LAB PARTNERS GROUP LLC GREENSBORO NC $11.62M
QUEST DIAGNOSTICS INCORPORATED MI FLINT MI $8.64M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC TUCKER GA $3.66M
UNILAB CORPORATION WEST HILLS CA $3.12M
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. TWINSBURG OH $2.56M
QUEST DIAGNOSTICS INCORPORATED MD FALLS CHURCH VA $936K
QUEST DIAGNOSTICS LLC WALLINGFORD CT $706K
SOLSTAS LAB PARTNERS, LLC KNOXVILLE TN $455K
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC NORRISTOWN PA $319K
UNILAB CORPORATION SAN JOSE CA $253K
UNILAB CORPORATION ORANGE CA $122K
QUEST DIAGNOSTICS LLC STRATFORD CT $103K
UNILAB CORPORATION BAKERSFIELD CA $53K
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC HORSHAM PA $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,847 $291K
2019 4,072 $201K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,079 2,204 $193K
G0480 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; 1-7 drug class(es), including metabolite(s) if performed 2,692 1,918 $169K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 239 211 $23K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 508 503 $18K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 503 498 $18K
80050 General health panel 349 341 $10K
80061 Lipid panel 521 516 $7K
80053 Comprehensive metabolic panel 563 541 $6K
87510 268 266 $6K
87480 268 266 $6K
87660 265 263 $5K
80074 88 88 $4K
84443 Thyroid stimulating hormone (TSH) 253 249 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 435 412 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 91 90 $3K
87631 12 12 $2K
86803 161 161 $2K
87086 Culture, bacterial; quantitative colony count, urine 171 169 $1K
84439 136 133 $1K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 28 28 $1K
86704 82 82 $1K
86592 336 335 $999.62
86706 84 84 $934.58
86708 73 73 $934.56
81001 236 232 $766.92
87340 71 71 $757.40
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 27 27 $622.08
82607 39 39 $569.80
83036 Hemoglobin; glycosylated (A1C) 57 57 $518.67
82043 93 92 $514.28
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 16 16 $466.95
82570 106 105 $448.84
87088 45 45 $364.64
87070 24 24 $207.46