Medicaid Provider Spending

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

QUEST DIAGNOSTICS CLINICAL LABORATORIES INC

NPI: 1407892243 · NASHVILLE, TN 37228 · Clinical Medical Laboratory · NPI assigned 06/21/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOWLES, CHARLES controls 20+ related entities in our dataset. Read more

$8K
Total Medicaid Paid
92,907
Total Claims
68,438
Beneficiaries
63
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialBOWLES, CHARLES (VICE PRESIDENT)
Parent OrganizationQUEST DIAGNOSTICS INCORPORATED
NPI Enumeration Date06/21/2006

Related Entities

Other providers sharing the same authorized official: BOWLES, CHARLES

ProviderCityStateTotal Paid
QUEST DIAGNOSTICS LLC MARLBOROUGH MA $209.74M
QUEST DIAGNOSTICS OF PENNSYLVANIA, INC. PITTSBURGH PA $132.39M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC SEATTLE WA $109.23M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC PORTLAND OR $21.85M
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. BUFFALO NY $20.20M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC COLLEGEVILLE PA $12.52M
SOLSTAS LAB PARTNERS GROUP LLC GREENSBORO NC $11.62M
QUEST DIAGNOSTICS INCORPORATED MI FLINT MI $8.64M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC TUCKER GA $3.66M
UNILAB CORPORATION WEST HILLS CA $3.12M
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. TWINSBURG OH $2.56M
QUEST DIAGNOSTICS INCORPORATED MD FALLS CHURCH VA $936K
QUEST DIAGNOSTICS LLC WALLINGFORD CT $706K
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. NORTH SYRACUSE NY $492K
SOLSTAS LAB PARTNERS, LLC KNOXVILLE TN $455K
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC NORRISTOWN PA $319K
UNILAB CORPORATION SAN JOSE CA $253K
UNILAB CORPORATION ORANGE CA $122K
QUEST DIAGNOSTICS LLC STRATFORD CT $103K
UNILAB CORPORATION BAKERSFIELD CA $53K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,272 $275.13
2019 535 $119.84
2020 2,674 $1K
2021 28,570 $6K
2022 28,225 $118.09
2023 30,631 $132.41

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80061 Lipid panel 11,016 8,187 $1K
84443 Thyroid stimulating hormone (TSH) 8,976 6,557 $1K
80053 Comprehensive metabolic panel 16,036 12,051 $956.80
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,091 2,103 $941.18
83036 Hemoglobin; glycosylated (A1C) 7,236 5,452 $703.41
85025 Blood count; complete (CBC), automated, and automated differential WBC count 12,490 9,374 $573.56
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 904 702 $533.60
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 889 666 $386.91
82607 1,961 1,313 $328.17
84153 712 476 $201.49
87086 Culture, bacterial; quantitative colony count, urine 1,751 1,341 $132.83
82746 876 556 $121.74
83970 942 639 $105.28
87088 1,404 1,075 $98.29
84439 1,908 1,434 $82.60
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 556 379 $77.26
82043 2,443 1,893 $64.00
85027 1,848 1,303 $58.82
82728 996 695 $58.15
82570 2,378 1,808 $48.99
80074 37 24 $44.06
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 295 218 $42.60
83550 999 693 $39.36
86038 638 438 $38.96
80048 Basic metabolic panel (calcium, ionized) 945 788 $38.95
83540 1,168 785 $38.75
87186 792 589 $36.46
86803 860 563 $35.49
G0103 Prostate cancer screening; prostate specific antigen test (psa) 451 320 $29.64
87077 771 597 $29.13
81001 1,255 914 $23.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 306 226 $14.30
86140 664 500 $12.88
83735 734 500 $12.42
87522 Neg quan hep c or qual rna 24 12 $10.44
86592 578 369 $10.04
85652 692 529 $7.92
84550 587 433 $5.88
84436 216 152 $3.23
86376 45 27 $3.20
86431 243 181 $3.04
86039 59 37 $2.70
84479 123 85 $2.21
82248 75 49 $1.95
82550 91 56 $0.90
84156 45 38 $0.00
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 193 129 $0.00
82652 52 42 $0.00
86200 15 13 $0.00
84100 28 24 $0.00
85610 39 18 $0.00
84481 178 137 $0.00
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 68 62 $0.00
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 58 51 $0.00
83880 684 473 $0.00
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 199 139 $0.00
83690 13 12 $0.00
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 90 73 $0.00
87340 58 46 $0.00
84480 25 13 $0.00
86704 38 29 $0.00
87070 46 38 $0.00
86706 17 12 $0.00