Lab
Prismhealthdx, INC.
Prismhealthdx, INC. was paid $398.65 by Medicaid between Jan 2018 and Sep 2018, across 40 billing codes. Its largest line is 84481, — 16% of everything it billed.
33Billing provider infoPRISMHEALTHDX, INC.
AUSTIN, TX 78744
AUSTIN, TX 78744
33aNPI1366808388assigned 01/06/2016
33bProvider typeClinical Medical Laboratory
28Total paid$398.65
24GClaims2,706
24DCodes billed40
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Clinical Medical Laboratory providers in Texas
Rank by total paid#326 of 436
Median peer was paid$17K
This provider vs. median0.0×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,706 | $398.65 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 84481 | 16% | 127 | 110 | $63.24 | |
| 82607 | 14% | 160 | 151 | $56.25 | |
| 83090 | 13% | 78 | 77 | $53.49 | |
| 80053 | Comprehensive metabolic panel | 11% | 160 | 153 | $42.04 |
| 83036 | Hemoglobin; glycosylated (A1C) | 9.1% | 99 | 95 | $36.21 |
| 84443 | Thyroid stimulating hormone (TSH) | 7.1% | 154 | 135 | $28.36 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 6.8% | 163 | 154 | $27.21 |
| 84439 | 5.2% | 128 | 110 | $20.88 | |
| 86141 | 4.3% | 78 | 77 | $17.01 | |
| 84550 | 4.2% | 117 | 103 | $16.89 | |
| 83876 | 3.6% | 73 | 72 | $14.46 | |
| 80061 | Lipid panel | 3.4% | 106 | 98 | $13.61 |
28 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.3% | 123 | $9.00 |
| 84403 | 0% | 39 | $0.00 | |
| 83540 | 0% | 69 | $0.00 | |
| 83721 | 0% | 43 | $0.00 | |
| 82308 | 0% | 31 | $0.00 | |
| 83970 | 0% | 64 | $0.00 | |
| 83525 | 0% | 64 | $0.00 | |
| 86431 | 0% | 31 | $0.00 | |
| 83698 | 0% | 64 | $0.00 | |
| 82627 | 0% | 31 | $0.00 | |
| 84146 | 0% | 39 | $0.00 | |
| 84702 | 0% | 39 | $0.00 | |
| 84442 | 0% | 37 | $0.00 | |
| 83550 | 0% | 44 | $0.00 | |
| 83520 | 0% | 64 | $0.00 | |
| 85385 | 0% | 29 | $0.00 | |
| 84206 | 0% | 30 | $0.00 | |
| 86376 | 0% | 69 | $0.00 | |
| 82670 | 0% | 31 | $0.00 | |
| 85415 | 0% | 30 | $0.00 | |
| 83001 | 0% | 33 | $0.00 | |
| 82550 | 0% | 30 | $0.00 | |
| 86800 | 0% | 69 | $0.00 | |
| 84144 | 0% | 39 | $0.00 | |
| 80050 | General health panel | 0% | 13 | $0.00 |
| 84270 | 0% | 39 | $0.00 | |
| 83002 | 0% | 38 | $0.00 | |
| 82040 | 0% | 31 | $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 officialPOGORZELSKI, DONALD (CEO)