STATE OF MISSOURI
NPI: 1346267424
· JEFFERSON CITY, MO 65101
· Clinical Medical Laboratory
· NPI assigned 07/16/2006
$7.77M
Total Medicaid Paid
Provider Details
| Authorized Official | BLANK, ERIC (LABORATORY DIRECTOR) |
| NPI Enumeration Date | 07/16/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
67,258 |
$1.40M |
| 2019 |
64,288 |
$1.30M |
| 2020 |
71,604 |
$1.17M |
| 2021 |
66,694 |
$1.14M |
| 2022 |
56,904 |
$1.07M |
| 2023 |
57,834 |
$1.26M |
| 2024 |
21,063 |
$422K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
41,682 |
39,253 |
$2.34M |
| 83498 |
|
63,250 |
57,422 |
$1.45M |
| 83789 |
|
63,332 |
57,503 |
$1.21M |
| 82657 |
|
63,295 |
57,467 |
$1.01M |
| 84443 |
Thyroid stimulating hormone (TSH) |
63,307 |
57,478 |
$899K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
31,639 |
30,447 |
$502K |
| 82261 |
|
38,801 |
35,230 |
$161K |
| 83655 |
|
8,588 |
8,119 |
$83K |
| 86592 |
|
25,237 |
24,099 |
$73K |
| 86780 |
|
3,063 |
2,907 |
$25K |
| 86593 |
|
2,583 |
2,439 |
$7K |
| 86701 |
|
791 |
726 |
$4K |
| 865932 |
|
21 |
19 |
$0.00 |
| 8083498 |
|
56 |
56 |
$0.00 |