Medicaid Provider Spending

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

QUEST DIAGNOSTICS OF PENNSYLVANIA INC.

NPI: 1366460321 · BUFFALO, NY 14228 · Clinical Medical Laboratory · NPI assigned 07/18/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOWLES, CHARLES controls 20+ related entities in our dataset. Read more

$20.20M
Total Medicaid Paid
1,460,970
Total Claims
1,398,970
Beneficiaries
263
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOWLES, CHARLES (VICE PRESIDENT)
Parent OrganizationQUEST DIAGNOSTICS INCORPORATED
NPI Enumeration Date07/18/2006

Related Entities

Other providers sharing the same authorized official: BOWLES, CHARLES

ProviderCityStateTotal Paid
QUEST DIAGNOSTICS LLC MARLBOROUGH MA $209.74M
QUEST DIAGNOSTICS OF PENNSYLVANIA, INC. PITTSBURGH PA $132.39M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC SEATTLE WA $109.23M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC PORTLAND OR $21.85M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC COLLEGEVILLE PA $12.52M
SOLSTAS LAB PARTNERS GROUP LLC GREENSBORO NC $11.62M
QUEST DIAGNOSTICS INCORPORATED MI FLINT MI $8.64M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC TUCKER GA $3.66M
UNILAB CORPORATION WEST HILLS CA $3.12M
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. TWINSBURG OH $2.56M
QUEST DIAGNOSTICS INCORPORATED MD FALLS CHURCH VA $936K
QUEST DIAGNOSTICS LLC WALLINGFORD CT $706K
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. NORTH SYRACUSE NY $492K
SOLSTAS LAB PARTNERS, LLC KNOXVILLE TN $455K
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC NORRISTOWN PA $319K
UNILAB CORPORATION SAN JOSE CA $253K
UNILAB CORPORATION ORANGE CA $122K
QUEST DIAGNOSTICS LLC STRATFORD CT $103K
UNILAB CORPORATION BAKERSFIELD CA $53K
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC HORSHAM PA $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 208,176 $2.31M
2019 187,546 $2.29M
2020 184,122 $2.79M
2021 217,428 $3.39M
2022 221,677 $3.22M
2023 237,669 $3.31M
2024 204,352 $2.89M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 37,787 37,660 $1.42M
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 16,356 15,292 $1.34M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 49,811 48,703 $1.15M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 49,078 47,991 $1.14M
80053 Comprehensive metabolic panel 104,854 102,282 $1.07M
84443 Thyroid stimulating hormone (TSH) 75,806 75,120 $697K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 682 681 $558K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 11,571 11,567 $556K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 24,327 23,875 $539K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 68,532 46,713 $523K
83036 Hemoglobin; glycosylated (A1C) 46,284 46,122 $504K
80061 Lipid panel 77,383 77,097 $472K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 13,311 13,309 $460K
84439 41,769 41,453 $386K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 18,688 18,592 $356K
86480 6,651 6,612 $343K
87536 2,755 2,744 $331K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 96,547 93,957 $313K
82607 24,278 24,169 $311K
87086 Culture, bacterial; quantitative colony count, urine 34,027 32,485 $285K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,944 1,904 $261K
84403 6,962 6,886 $245K
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 9,828 9,251 $241K
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 15,480 11,078 $230K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 604 600 $217K
87088 21,485 20,750 $207K
82728 13,109 12,979 $198K
84153 7,919 7,881 $193K
86803 18,416 18,340 $189K
82746 14,263 14,206 $183K
83013 1,527 1,523 $147K
84402 4,302 4,268 $135K
87070 15,911 15,678 $134K
87522 Neg quan hep c or qual rna 2,200 2,152 $133K
86003 1,864 1,856 $122K
82670 3,278 3,134 $117K
87340 10,181 10,140 $116K
83655 7,316 7,259 $113K
83001 4,852 4,799 $110K
83970 2,080 2,069 $110K
88142 4,172 4,169 $106K
84146 3,851 3,818 $104K
80048 Basic metabolic panel (calcium, ionized) 13,557 13,196 $99K
81001 24,108 23,580 $99K
87077 8,866 8,672 $91K
82784 5,084 5,032 $86K
83002 3,837 3,795 $82K
84702 6,410 5,167 $81K
86376 5,058 5,040 $78K
87481 2,753 2,715 $76K
86762 4,399 4,385 $75K
82570 14,520 14,041 $74K
86780 5,617 5,591 $74K
86769 1,922 1,913 $74K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2,407 2,374 $73K
83540 14,107 14,006 $73K
83550 12,818 12,731 $66K
87186 9,377 9,175 $65K
82043 12,470 12,401 $64K
86235 2,615 2,587 $59K
86696 3,043 3,024 $54K
80349 10,736 7,820 $54K
86800 3,879 3,870 $53K
85027 15,985 15,825 $52K
86360 784 782 $52K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1,246 1,225 $50K
86706 4,763 4,745 $49K
87081 8,779 8,722 $47K
80348 9,283 6,455 $46K
86765 2,998 2,988 $45K
86160 2,019 1,999 $44K
86140 10,435 10,149 $44K
86704 4,129 4,110 $43K
84144 1,809 1,639 $43K
86592 11,802 11,738 $40K
86038 7,436 7,365 $39K
80362 7,596 6,346 $38K
82627 1,566 1,562 $38K
84154 1,433 1,430 $35K
87631 325 323 $33K
86708 3,144 3,130 $32K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 244 239 $31K
84436 5,286 5,269 $31K
86787 2,988 2,978 $30K
84450 5,737 5,701 $29K
83525 2,228 2,219 $29K
85652 13,997 13,694 $29K
80359 5,666 4,740 $28K
84460 5,457 5,430 $28K
87660 1,909 1,885 $27K
87510 1,909 1,885 $27K
87480 1,909 1,885 $27K
83735 5,416 5,045 $27K
80361 5,373 4,793 $26K
85610 6,514 5,612 $26K
86431 4,828 4,794 $26K
88141 2,965 2,964 $25K
80335 4,944 4,156 $25K
86735 2,869 2,860 $25K
83921 1,038 1,036 $24K
86141 2,275 2,263 $24K
84481 2,592 2,579 $24K
82950 3,993 3,985 $23K
86334 852 844 $23K
85730 3,599 3,515 $23K
82533 1,201 1,170 $23K
87350 2,048 2,041 $21K
80076 2,836 2,773 $21K
82785 1,631 1,623 $21K
82248 4,138 4,059 $21K
86665 491 488 $20K
80346 4,019 3,363 $19K
82105 2,817 2,797 $19K
83690 3,081 3,033 $18K
87338 2,179 2,176 $18K
80353 3,712 2,950 $18K
86707 1,725 1,718 $18K
84480 3,090 3,074 $18K
84550 3,480 3,378 $18K
87563 766 748 $17K
83090 889 888 $17K
88112 673 655 $17K
86361 686 682 $16K
83993 1,359 1,352 $16K
86364 1,851 1,848 $15K
86901 3,374 3,346 $14K
84156 2,704 2,534 $14K
82550 2,654 2,592 $13K
82150 2,622 2,582 $13K
83880 383 351 $13K
87177 1,061 1,052 $13K
86850 2,128 2,115 $12K
86255 1,794 1,779 $12K
84479 3,518 3,510 $12K
86039 2,228 2,206 $12K
82565 2,222 2,203 $11K
86147 499 495 $11K
82977 2,152 2,033 $11K
86900 2,470 2,452 $11K
86705 1,027 1,025 $11K
82947 1,987 1,979 $10K
80324 1,968 1,687 $10K
84100 1,945 1,820 $10K
87075 829 813 $9K
80323 2,001 1,731 $9K
86618 475 473 $9K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 331 315 $9K
86225 1,669 1,662 $9K
84520 1,739 1,726 $9K
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge 422 278 $9K
81003 4,021 4,013 $8K
80178 1,027 991 $7K
86146 324 320 $7K
84165 897 882 $7K
84425 461 459 $7K
86671 760 755 $7K
87329 403 401 $7K
87209 1,058 1,049 $6K
82274 1,701 1,690 $6K
83020 381 379 $6K
82672 229 228 $6K
82951 769 768 $5K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 63 63 $5K
84155 1,049 1,040 $5K
86664 283 281 $5K
83021 230 230 $5K
87205 1,370 1,348 $5K
84703 2,307 2,217 $5K
86481 93 93 $5K
82140 242 221 $5K
86617 141 141 $5K
86036 598 592 $4K
87449 777 758 $4K
87324 408 403 $4K
83615 771 715 $4K
85018 1,871 1,837 $4K
87902 13 13 $4K
87625 71 71 $4K
82247 728 705 $4K
80164 321 319 $3K
87045 407 402 $3K
80358 775 618 $3K
82024 64 64 $3K
87427 229 228 $3K
82040 620 618 $3K
85014 1,516 1,491 $3K
82310 564 564 $3K
85041 892 880 $3K
80365 687 661 $3K
80051 411 410 $3K
84075 522 522 $3K
82330 486 482 $2K
80354 1,685 1,204 $2K
86258 187 187 $2K
84446 112 112 $2K
84590 144 144 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 40 40 $2K
85613 228 226 $2K
84630 229 229 $2K
85048 455 448 $1K
85045 438 434 $1K
83498 37 37 $1K
80197 126 88 $1K
87101 132 131 $1K
82955 90 90 $1K
86008 61 51 $1K
80356 267 230 $1K
82378 40 37 $1K
86381 80 80 $973.94
84466 67 65 $828.45
80320 206 196 $767.65
82172 42 42 $736.56
81596 14 14 $710.22
87046 236 235 $702.66
81329 12 12 $670.64
86304 25 24 $636.75
86709 63 63 $605.90
84681 24 24 $547.92
82952 363 362 $518.77
82677 25 25 $453.16
86256 50 50 $447.36
83521 36 36 $447.20
84482 74 74 $428.64
82465 89 89 $407.94
84163 28 28 $364.00
87076 29 28 $346.80
85007 237 234 $342.85
81015 161 160 $326.48
82103 24 24 $315.60
80345 80 78 $283.22
80177 27 26 $280.59
86231 38 38 $270.25
86593 66 66 $255.92
82390 29 29 $246.50
86162 12 12 $242.16
86015 52 52 $221.12
86336 28 28 $188.93
81025 90 90 $183.62
85379 13 13 $145.08
83630 24 24 $130.80
87255 12 12 $85.32
82340 12 12 $79.68
84300 14 14 $73.22
84133 12 12 $62.76
86308 12 12 $58.56
85004 12 12 $39.12
80364 26 26 $9.72
80326 26 26 $9.72
80337 26 26 $9.72
80367 26 26 $9.72
80321 1,456 1,098 $0.00
80355 653 468 $0.00
80366 94 74 $0.00
80369 38 23 $0.00
80339 21 18 $0.00
80360 22 18 $0.00
82166 13 12 $0.00
86317 160 160 $0.00
80368 356 256 $0.00
86021 505 501 $0.00
36415 Collection of venous blood by venipuncture 3,516 3,290 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 43 43 $0.00
87147 142 142 $0.00