Medicaid Provider Spending

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

PRESCIENT MEDICINE HOLDINGS, INC.

NPI: 1407258486 · HUMMELSTOWN, PA 17036 · Clinical Medical Laboratory · NPI assigned 09/22/2014

$1.40M
Total Medicaid Paid
21,570
Total Claims
10,371
Beneficiaries
21
Codes Billed
2018-04
First Month
2020-12
Last Month

Provider Details

Authorized OfficialDONALDSON, KERI (CEO)
NPI Enumeration Date09/22/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,245 $49K
2019 2,984 $255K
2020 17,341 $1.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 18,123 8,436 $1.34M
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 255 186 $15K
81226 92 74 $12K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 394 200 $7K
81227 92 74 $5K
81225 92 74 $4K
81401 173 74 $3K
81241 146 74 $2K
81291 92 74 $2K
81240 93 75 $2K
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 81 45 $664.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 68 43 $410.60
80074 271 146 $390.56
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 275 149 $197.44
81025 110 87 $155.17
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 12 $127.90
84443 Thyroid stimulating hormone (TSH) 278 152 $87.36
80053 Comprehensive metabolic panel 302 155 $71.82
85025 Blood count; complete (CBC), automated, and automated differential WBC count 287 154 $32.66
86592 18 12 $12.81
81479 Unlisted molecular pathology procedure 313 75 $0.00