Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Inspire Diagnostics LLC

Inspire Diagnostics LLC was paid $23.07M by Medicaid between Jan 2021 and Mar 2024, across 18 billing codes. Its largest line is U0003, 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, making use of high throughput technologies as described by cms-2020-01-r — 66% of everything it billed.

33Billing provider infoINSPIRE DIAGNOSTICS LLC
LAKE FOREST, CA 92630
33aNPI1366048019assigned 12/08/2020
28Total paid$23.07M
24GClaims628,457
24DCodes billed18
24AFirst – last monthJan 2021 – Mar 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#41 of 561
Median peer was paid$222K
This provider vs. median104×

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$1.0M$2.0M$3.0M2018201920202021202220232024
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
202199,095$3.36M
2022467,499$17.30M
202361,763$2.41M
2024incomplete100$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
U0003 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, making use of high throughput technologies as described by cms-2020-01-r 66% 252,000 123,229 $15.29M
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 18% 226,014 106,147 $4.27M
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 12% 127,377 66,320 $2.65M
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 3.3% 20,781 13,360 $765K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,645 1,177 $76K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 217 141 $7K
0124A <1% 81 81 $3K
0004A <1% 83 83 $3K
90686 <1% 77 76 $2K
0134A <1% 26 26 $1K
0074A <1% 18 18 $720.00
0071A <1% 16 16 $620.00
6 more codes
0064A <1% 13 $500.00
80061 Lipid panel 0% 22 $0.00
80053 Comprehensive metabolic panel 0% 22 $0.00
82607 0% 21 $0.00
84443 Thyroid stimulating hormone (TSH) 0% 22 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 22 $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 officialSALAS, RICARDO (OWNER)