Medicaid Provider Spending

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

PROVISTA DIAGNOSTICS

NPI: 1346850468 · ALPHARETTA, GA 30004 · Clinical Medical Laboratory · NPI assigned 08/04/2020

$197K
Total Medicaid Paid
4,148
Total Claims
4,053
Beneficiaries
2
Codes Billed
2021-01
First Month
2022-07
Last Month

Provider Details

Authorized OfficialKUSIATIN, URIEL (CEO)
NPI Enumeration Date08/04/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,713 $64K
2022 2,435 $134K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 3,293 3,224 $182K
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 855 829 $15K