Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pathos Clinical Solutions LLC

Pathos Clinical Solutions LLC was paid $15K by Medicaid between Feb 2019 and Aug 2020, across 55 billing codes. Its largest line is 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 — 20% of everything it billed.

33Billing provider infoPATHOS CLINICAL SOLUTIONS LLC
KELLER, TX 76248
33aNPI1407399942assigned 12/01/2016
28Total paid$15K
24GClaims52,545
24DCodes billed55
24AFirst – last monthFeb 2019 – Aug 2020
Compared with peers

Next to other Clinical Medical Laboratory providers in Texas

Rank by total paid#225 of 436
Median peer was paid$17K
This provider vs. median0.8×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201930,898$9K
202021,647$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 20% 247 236 $3K
80053 Comprehensive metabolic panel 8.4% 5,521 4,154 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5.6% 3,736 2,400 $813.91
87481 5.1% 474 414 $749.72
84443 Thyroid stimulating hormone (TSH) 4.8% 1,922 1,680 $703.14
83036 Hemoglobin; glycosylated (A1C) 3.9% 2,058 1,735 $575.10
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3.5% 724 622 $506.55
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 3.4% 433 388 $498.65
87500 2.9% 417 375 $425.85
87641 2.9% 416 374 $425.85
87653 2.9% 466 414 $425.85
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2.9% 453 402 $425.85
43 more codes
G2024 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source 2.8% 75 $413.77
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2.7% 464 $389.45
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2.7% 396 $389.45
87529 2.7% 449 $389.45
87496 2.7% 449 $389.45
80061 Lipid panel 2.6% 1,547 $380.08
87640 2.4% 483 $356.70
80048 Basic metabolic panel (calcium, ionized) 2.1% 1,299 $310.66
82607 2.0% 476 $286.08
85027 1.9% 3,043 $272.28
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1.4% 666 $203.80
83880 1.1% 366 $163.25
80177 1.1% 198 $157.09
80164 <1% 535 $113.13
87086 Culture, bacterial; quantitative colony count, urine <1% 873 $97.16
85610 <1% 1,026 $80.42
80185 <1% 124 $74.22
82746 <1% 92 $54.92
84134 <1% 216 $49.04
81001 <1% 464 $37.83
82747 <1% 34 $32.34
87184 <1% 163 $31.23
84439 <1% 201 $23.58
81002 <1% 660 $17.52
84153 <1% 35 $17.17
84480 <1% 51 $14.71
86141 <1% 24 $13.42
83735 <1% 112 $11.88
87400 <1% 44 $11.28
81003 <1% 96 $9.65
84436 <1% 67 $7.12
84479 <1% 46 $6.70
81000 <1% 133 $6.59
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 <1% 11,325 $0.65
36415 Collection of venous blood by venipuncture 0% 4,812 $0.00
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) 0% 4,428 $0.00
87556 0% 14 $0.00
80069 0% 14 $0.00
84482 0% 54 $0.00
84100 0% 45 $0.00
84550 0% 49 $0.00
83540 0% 16 $0.00
80076 0% 14 $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 officialBLACK, WESTON (CEO)