Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NPI deactivated

1366434847

1366434847 was paid $2.63M by Medicaid between Jan 2018 and Sep 2022, across 124 billing codes. Its largest line is 0241U, Neonatal screening for hereditary disorders, genomic sequence analysis panel — 11% of everything it billed.

33Billing provider info1366434847
33aNPI1366434847
33bProvider type—
28Total paid$2.63M
24GClaims467,630
24DCodes billed124
24AFirst – last monthJan 2018 – Sep 2022
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
201892,178$404K
2019122,711$582K
202092,275$478K
202195,665$613K
202264,801$555K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 11% 4,273 3,675 $281K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8.3% 9,276 7,981 $218K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7.3% 67,648 42,334 $193K
80053 Comprehensive metabolic panel 6.8% 36,295 25,102 $180K
80048 Basic metabolic panel (calcium, ionized) 5.5% 35,515 21,132 $144K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4.7% 5,554 5,103 $123K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4.7% 5,541 5,092 $123K
84484 3.6% 24,841 16,065 $95K
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 3.4% 1,556 1,308 $90K
87040 2.5% 8,110 4,197 $66K
83735 2.5% 17,573 8,519 $65K
83880 2.3% 6,209 4,588 $59K
112 more codes
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 2.2% 1,658 $58K
84703 2.0% 15,326 $53K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.9% 2,176 $49K
83690 1.7% 13,221 $45K
87086 Culture, bacterial; quantitative colony count, urine 1.6% 7,619 $42K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.5% 1,422 $40K
83605 1.4% 8,334 $36K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.2% 1,228 $31K
85730 1.1% 9,540 $30K
84443 Thyroid stimulating hormone (TSH) 1.1% 3,650 $29K
87641 1.0% 1,179 $27K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 153 $26K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,109 $24K
88307 <1% 560 $23K
81001 <1% 16,459 $22K
85610 <1% 10,663 $21K
85027 <1% 7,305 $21K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 378 $19K
84702 <1% 4,374 $19K
86901 <1% 7,970 $18K
85379 <1% 4,795 $18K
80076 <1% 5,549 $17K
82805 <1% 2,524 $17K
86850 <1% 5,307 $15K
81003 <1% 13,853 $14K
86900 <1% 8,330 $14K
87186 <1% 1,950 $11K
84100 <1% 4,800 $10K
82550 <1% 3,543 $9K
80074 <1% 479 $9K
87210 <1% 3,598 $8K
83036 Hemoglobin; glycosylated (A1C) <1% 2,690 $8K
80061 Lipid panel <1% 2,970 $8K
82728 <1% 2,072 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 965 $7K
81025 <1% 4,205 $7K
87070 <1% 2,208 $6K
82607 <1% 992 $6K
86140 <1% 2,504 $6K
82803 <1% 599 $6K
87088 <1% 927 $6K
87806 <1% 589 $5K
82375 <1% 2,267 $5K
86592 <1% 2,567 $5K
80202 <1% 748 $5K
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 <1% 194 $5K
82247 <1% 2,219 $5K
87340 <1% 759 $5K
83615 <1% 1,954 $5K
80185 <1% 680 $4K
82553 <1% 1,184 $4K
82746 <1% 725 $4K
84145 <1% 2,305 $4K
82077 <1% 374 $4K
82570 <1% 1,577 $4K
83550 <1% 892 $4K
87077 <1% 1,902 $4K
88304 <1% 207 $3K
82150 <1% 1,073 $3K
83050 <1% 2,279 $3K
87205 <1% 1,926 $3K
82140 <1% 860 $3K
84112 <1% 115 $3K
87075 <1% 555 $3K
82248 <1% 1,961 $3K
82962 <1% 3,487 $3K
87807 <1% 563 $3K
87081 <1% 950 $3K
88342 <1% 386 $3K
85018 <1% 3,389 $3K
86706 <1% 310 $2K
81479 Unlisted molecular pathology procedure <1% 140 $2K
84550 <1% 1,219 $2K
87899 <1% 318 $2K
86922 <1% 423 $2K
84439 <1% 451 $2K
86880 <1% 599 $2K
87493 <1% 75 $2K
84132 <1% 1,031 $2K
85652 <1% 1,162 $1K
80069 <1% 344 $1K
84156 <1% 1,311 $1K
86803 <1% 157 $1K
84300 <1% 590 $1K
83540 <1% 424 $1K
86762 <1% 261 $1K
86704 <1% 143 $1K
85014 <1% 1,098 $1K
85384 <1% 368 $1K
82565 <1% 553 $894.83
86480 <1% 33 $857.01
83970 <1% 43 $669.08
82010 <1% 233 $652.07
82948 <1% 616 $528.00
85046 <1% 175 $441.14
87015 <1% 74 $255.40
86038 <1% 31 $244.90
84481 <1% 48 $243.76
87430 <1% 27 $224.37
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 45 $199.23
82009 <1% 219 $187.48
82436 <1% 83 $174.75
86689 <1% 14 $156.66
80164 <1% 33 $146.19
82330 <1% 21 $133.60
87147 <1% 49 $68.72
84133 <1% 20 $42.00
83930 <1% 18 $41.94
80320 <1% 2,138 $36.86
85007 <1% 142 $21.00
80329 0% 252 $0.00
86923 0% 77 $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.