Medicaid Provider Spending

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

PRO-GENEX LABORATORIES INCORPORATED

NPI: 1427610674 · GAINESVILLE, GA 30501 · Molecular Genetic Pathology (Pathology) Physician · NPI assigned 07/08/2019

$746K
Total Medicaid Paid
16,471
Total Claims
5,815
Beneficiaries
12
Codes Billed
2020-04
First Month
2023-11
Last Month

Provider Details

Authorized OfficialGRAUSS, BRETT (PRESIDENT & CEO)
NPI Enumeration Date07/08/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 4,271 $232K
2021 9,356 $372K
2022 2,705 $134K
2023 139 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 11,388 3,901 $668K
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 4,318 1,469 $63K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 372 225 $7K
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 194 106 $5K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 22 12 $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 41 30 $709.53
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 22 12 $438.60
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 23 12 $157.60
87634 23 12 $130.00
87640 23 12 $87.72
87541 23 12 $87.72
87486 22 12 $87.72