MAJL DIAGNOSTIC LABORATORIES LLC

NPI: 1336761923 · NORCROSS, GA 30093 · Clinical Medical Laboratory · NPI assigned 05/18/2020

$12K

Total Medicaid Paid

206

Total Claims

187

Beneficiaries

Codes Billed

2020-07

First Month

2021-08

Last Month

Provider Details

Authorized Official	JOHNSON, DARRELL (CREDENTIALING SPECIALIST)
NPI Enumeration Date	05/18/2020

Other providers sharing the same authorized official: JOHNSON, DARRELL

Provider	City	State	Total Paid
ORANGEBURG CONSOLIDATED SCHOOL DISTRICT FOUR	COPE	SC	$466K

Year	Claims	Total Paid
2020	33	$4K
2021	173	$8K

Code	Description	Claims	Beneficiaries	Total 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	131	121	$11K
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	75	66	$1K