Medicaid Provider Spending

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

EAST TEXAS CLINICAL LABORATORY LLC

NPI: 1407111024 · DALLAS, TX 75231 · Clinical Medical Laboratory · NPI assigned 07/10/2012

$5K
Total Medicaid Paid
11,063
Total Claims
8,728
Beneficiaries
21
Codes Billed
2018-02
First Month
2018-09
Last Month

Provider Details

Authorized OfficialVISKOVICH, DEAN (VP OF COMPLIANCE)
NPI Enumeration Date07/10/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,063 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 708 504 $1K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 120 102 $707.39
80373 645 508 $463.77
80321 543 434 $381.63
80346 647 510 $199.96
80355 353 267 $193.69
80361 648 510 $192.79
80358 645 510 $173.76
80354 638 502 $173.76
80348 647 510 $173.76
80365 647 510 $173.75
80362 292 246 $169.11
80353 646 509 $119.40
80356 648 511 $106.80
83992 549 438 $33.87
80345 542 433 $23.76
80349 516 422 $23.76
80350 386 296 $23.76
80325 552 441 $23.76
80359 541 433 $21.22
80351 150 132 $0.00