Lab
Golden Rule Management LLC
Golden Rule Management LLC was paid $158K by Medicaid between Jan 2018 and Sep 2020, across 47 billing codes. Its largest line is 87798, Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism — 19% of everything it billed.
33Billing provider infoGOLDEN RULE MANAGEMENT LLC
OWENSBORO, KY 42303
OWENSBORO, KY 42303
33aNPI1396166203assigned 12/18/2013
33bProvider typeClinical Medical Laboratory
28Total paid$158K
24GClaims44,551
24DCodes billed47
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Clinical Medical Laboratory providers in Kentucky
Rank by total paid#33 of 73
Median peer was paid$95K
This provider vs. median1.7×
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 | 12,185 | $15K | |
| 2019 | 16,393 | $76K | |
| 2020 | 15,973 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 19% | 180 | 125 | $31K |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 15% | 4,841 | 3,451 | $24K |
| 84443 | Thyroid stimulating hormone (TSH) | 5.5% | 1,139 | 1,041 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.6% | 2,730 | 2,219 | $7K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 4.2% | 483 | 448 | $7K |
| 82310 | 3.0% | 1,965 | 1,682 | $5K | |
| 82565 | 3.0% | 1,957 | 1,681 | $5K | |
| 82374 | 2.8% | 1,957 | 1,681 | $4K | |
| 84132 | 2.7% | 2,000 | 1,713 | $4K | |
| 84460 | 2.7% | 1,602 | 1,424 | $4K | |
| 36415 | Collection of venous blood by venipuncture | 2.7% | 4,540 | 3,366 | $4K |
| 82435 | 2.6% | 1,954 | 1,678 | $4K |
35 more codes
| 84075 | 2.6% | 1,596 | $4K | |
| 84450 | 2.6% | 1,599 | $4K | |
| 82947 | 2.6% | 2,149 | $4K | |
| 83718 | 2.5% | 961 | $4K | |
| 82247 | 2.5% | 1,603 | $4K | |
| 82040 | 2.4% | 1,631 | $4K | |
| 84520 | 2.3% | 1,944 | $4K | |
| 84155 | 1.8% | 1,591 | $3K | |
| 84478 | 1.8% | 961 | $3K | |
| 82607 | 1.7% | 323 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 459 | $1K |
| 80164 | <1% | 180 | $1K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 74 | $1K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 73 | $1K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 73 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 727 | $1K |
| 80061 | Lipid panel | <1% | 317 | $851.83 |
| 84439 | <1% | 184 | $790.93 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 74 | $671.06 |
| 85610 | <1% | 564 | $583.94 | |
| 87640 | <1% | 35 | $564.52 | |
| 87653 | <1% | 33 | $511.89 | |
| 87481 | <1% | 36 | $508.89 | |
| 81000 | <1% | 419 | $489.14 | |
| 83735 | <1% | 102 | $404.28 | |
| 84295 | <1% | 144 | $172.72 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 197 | $152.29 |
| 84153 | <1% | 15 | $126.44 | |
| 83540 | <1% | 27 | $109.85 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 14 | $53.78 |
| 82465 | <1% | 60 | $45.10 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 45 | $31.72 |
| 80076 | <1% | 14 | $7.57 | |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | <1% | 948 | $3.00 |
| 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 | 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 officialELLIS, LEA (CREDENTIALING SPECIALIST)