Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pioneer Lab Houston, LP

Pioneer Lab Houston, LP was paid $468K by Medicaid between Jan 2018 and Jan 2024, 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 — 55% of everything it billed.

33Billing provider infoPIONEER LAB HOUSTON, LP
HOUSTON, TX 77083
33aNPI1346644929assigned 10/10/2014
28Total paid$468K
24GClaims22,880
24DCodes billed17
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Texas

Rank by total paid#89 of 436
Median peer was paid$17K
This provider vs. median27×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2018274$0.00
201925$0.00
20202,073$14K
202112,643$307K
20225,133$137K
20232,600$10K
2024incomplete132$205.84
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 55% 4,906 4,503 $256K
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 16% 4,000 3,795 $77K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 16% 4,903 4,546 $77K
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 7.2% 797 572 $34K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4.5% 1,612 1,152 $21K
82575 <1% 1,451 1,023 $1K
83986 <1% 1,452 1,026 $380.30
80348 <1% 492 348 $269.85
80346 <1% 493 348 $269.45
80324 <1% 492 348 $249.18
80323 <1% 502 353 $182.48
80345 <1% 502 353 $139.29
5 more codes
80373 <1% 315 $113.37
80349 <1% 340 $102.67
80369 <1% 314 $83.80
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 0% 258 $0.00
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 0% 51 $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 officialSANDUJA, SOURABH (OWNER)