Medicaid Provider Spending

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

SDI LABS, INC

NPI: 1407878358 · SANTA ANA, CA 92705 · Clinical Medical Laboratory · NPI assigned 07/23/2006

Deactivated NPI · This NPI was deactivated on 07/19/2021. Reactivated 08/20/2021.
$965K
Total Medicaid Paid
23,234
Total Claims
19,150
Beneficiaries
6
Codes Billed
2020-08
First Month
2024-01
Last Month

Provider Details

Authorized OfficialHASSAN, ALEND (OWNER)
NPI Enumeration Date07/23/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,944 $108K
2021 7,319 $311K
2022 13,795 $543K
2023 74 $94.08
2024 102 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 10,037 8,279 $721K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 8,987 7,388 $182K
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 4,022 3,302 $60K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 102 96 $2K
S0265 Genetic counseling, under physician supervision, each 15 minutes 12 12 $456.00
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 74 73 $94.08