ETL- NORTHEAST LLC
NPI: 1396313813
· DORAVILLE, GA 30340
· Clinical Medical Laboratory
· NPI assigned 06/11/2021
$3.89M
Total Medicaid Paid
Provider Details
| Authorized Official | GOSS, JONATHAN (OWNER) |
| NPI Enumeration Date | 06/11/2021 |
Related Entities
Other providers sharing the same authorized official: GOSS, JONATHAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
48,045 |
$1.65M |
| 2022 |
54,603 |
$2.24M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
46,415 |
37,375 |
$2.89M |
| 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 |
46,082 |
37,221 |
$950K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
10,151 |
7,794 |
$56K |