Medicaid Provider Spending

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

QUEST DIAGNOSTICS NICHOLS INSTITUTE, INC.

NPI: 1447296272 · CHANTILLY, VA 20151 · Clinical Medical Laboratory · NPI assigned 06/21/2006

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

Authorized official TIMMERMAN, LEAH controls 20+ related entities in our dataset. Read more

$46.91M
Total Medicaid Paid
2,407,863
Total Claims
2,093,769
Beneficiaries
436
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTIMMERMAN, LEAH (SR. VICE PRESIDENT)
Parent OrganizationQUEST DIAGNOSTICS INCORPORATED
NPI Enumeration Date06/21/2006

Related Entities

Other providers sharing the same authorized official: TIMMERMAN, LEAH

ProviderCityStateTotal Paid
UNILAB CORPORATION WEST HILLS CA $668.50M
QUEST DIAGNOSTICS INCORPORATED CLIFTON NJ $637.74M
QUEST DIAGNOSTICS LLC IL WOOD DALE IL $429.84M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC IRVING TX $276.76M
LABONE LLC LENEXA KS $212.28M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC TUCKER GA $211.13M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC MIRAMAR FL $197.58M
LABONE OF OHIO INC CINCINNATI OH $167.17M
UNILAB CORPORATION SACRAMENTO CA $141.24M
QUEST DIAGNOSTICS INCORPORATED MD BALTIMORE MD $121.81M
QUEST DIAGNOSTICS INCORPORATED LAS VEGAS NV $59.32M
QUEST DIAGNOSTICS LLC IL SCHAUMBURG IL $50.71M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC TAMPA FL $49.99M
QUEST DIAGNOSTICS NICHOLS INSTITUTE SAN JUAN CAPISTRANO CA $39.93M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC NORRISTOWN PA $22.72M
SPECIALTY LABORATORIES INC WEST HILLS CA $16.76M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC DENVER CO $14.27M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC HOUSTON TX $8.76M
MED FUSION, LLC LEWISVILLE TX $4.17M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC MARYLAND HEIGHTS MO $2.98M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 362,300 $8.17M
2019 439,658 $9.37M
2020 384,466 $7.12M
2021 403,395 $7.68M
2022 297,841 $5.89M
2023 285,153 $4.83M
2024 235,050 $3.86M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87799 154,602 93,736 $5.19M
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 6,687 6,629 $3.81M
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 102,762 95,943 $3.54M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 116,475 83,581 $3.45M
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 101,422 74,401 $2.91M
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 10,811 10,071 $2.87M
87512 97,779 89,456 $2.24M
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 102,095 95,258 $1.61M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 103,151 94,524 $1.30M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 103,053 94,450 $1.29M
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 22,927 17,353 $1.16M
87902 15,183 14,367 $1.14M
82652 65,765 62,401 $990K
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 8,661 7,743 $955K
84403 110,858 103,523 $861K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 46,534 44,358 $612K
87536 10,923 9,730 $488K
84402 51,780 47,849 $459K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 13,470 12,791 $309K
88185 2,199 1,873 $305K
84425 32,661 30,928 $295K
84445 11,429 10,841 $284K
84270 37,294 35,027 $270K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 10,858 6,217 $256K
86003 8,693 7,449 $252K
86146 11,387 7,796 $236K
87522 Neg quan hep c or qual rna 7,828 7,205 $217K
83498 16,585 15,762 $215K
83921 19,187 18,306 $211K
87529 11,286 5,791 $205K
86696 24,205 21,895 $193K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 4,670 3,570 $192K
87563 9,851 8,945 $181K
83516 18,512 16,478 $177K
84207 13,094 12,453 $175K
83520 25,266 14,687 $170K
86780 17,508 16,527 $145K
86695 23,472 21,194 $135K
86360 5,929 5,614 $135K
86235 4,669 3,877 $125K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 605 533 $125K
82024 5,697 5,229 $117K
83655 13,512 12,355 $110K
83021 8,336 7,664 $107K
84590 14,961 14,347 $104K
87535 4,743 4,445 $102K
80177 11,337 10,378 $100K
82088 6,485 6,091 $99K
83013 2,337 2,264 $94K
85246 7,297 6,963 $94K
86147 4,656 3,298 $94K
84443 Thyroid stimulating hormone (TSH) 8,592 8,239 $91K
86812 7,293 6,719 $91K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 5,015 4,802 $89K
80061 Lipid panel 9,870 9,528 $89K
87481 1,201 998 $87K
86255 13,486 11,428 $86K
85245 6,580 6,294 $86K
82784 10,646 9,935 $81K
80159 11,026 8,476 $81K
84630 14,012 13,227 $80K
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 4,937 3,705 $79K
87497 3,074 2,131 $77K
80175 9,274 8,494 $76K
83835 6,781 6,124 $76K
86666 6,442 5,573 $76K
85240 7,012 6,655 $75K
81382 1,350 1,227 $74K
81381 2,588 2,294 $74K
84244 6,393 6,030 $71K
80053 Comprehensive metabolic panel 9,837 9,301 $71K
80183 7,629 7,102 $66K
85247 4,627 4,403 $64K
82728 7,248 6,826 $63K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,658 1,563 $63K
86359 5,445 5,127 $62K
83880 3,578 3,231 $62K
86376 6,882 6,451 $61K
86787 7,141 6,742 $61K
81376 1,354 1,229 $61K
80348 8,377 5,890 $58K
86355 4,940 4,635 $55K
80050 General health panel 1,679 1,645 $54K
82542 5,383 4,905 $52K
86341 4,364 3,982 $51K
86611 4,255 3,642 $49K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 9,781 9,257 $49K
86803 4,799 4,451 $48K
80349 6,502 5,482 $47K
84446 5,349 5,109 $47K
81206 989 934 $47K
80361 4,936 4,189 $46K
86480 1,433 1,353 $46K
80346 5,480 4,650 $45K
83036 Hemoglobin; glycosylated (A1C) 7,889 7,643 $42K
85730 9,968 9,388 $42K
86021 4,244 3,688 $41K
82525 5,448 5,095 $41K
83020 5,035 4,836 $40K
86160 3,992 3,385 $40K
85613 6,042 5,643 $40K
36415 Collection of venous blood by venipuncture 42,902 39,559 $40K
82787 2,873 2,403 $39K
82384 2,739 2,571 $39K
87338 3,630 3,464 $39K
82610 4,102 3,782 $38K
88189 1,638 1,440 $38K
83735 9,256 8,720 $37K
87517 1,371 1,287 $36K
81513 526 493 $36K
88184 2,139 1,873 $36K
86753 5,956 5,299 $35K
80373 10,246 6,846 $35K
84439 6,087 5,846 $34K
86357 3,351 3,153 $34K
83970 1,259 1,186 $34K
82040 19,544 18,427 $33K
84482 5,928 5,505 $32K
82164 4,221 3,987 $31K
86231 5,705 5,461 $31K
82607 3,501 3,228 $30K
86038 4,869 4,591 $30K
85303 2,869 2,675 $30K
86671 4,378 2,150 $29K
86738 2,534 2,389 $29K
86769 785 719 $29K
82239 2,692 2,346 $29K
80354 5,132 3,179 $29K
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 519 465 $28K
85306 2,522 2,337 $28K
86774 3,171 3,028 $28K
82785 2,571 2,459 $26K
80365 3,340 2,831 $26K
86481 631 572 $25K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 518 484 $25K
86800 2,858 2,653 $25K
81329 1,476 1,356 $24K
86162 2,879 2,693 $24K
86592 8,094 7,712 $24K
86665 1,018 893 $23K
81240 631 577 $23K
82955 4,401 4,175 $23K
80355 3,219 1,843 $23K
80323 2,057 1,625 $23K
82085 4,323 4,054 $23K
80324 3,008 2,225 $22K
83695 3,160 2,990 $22K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 422 417 $22K
83003 698 546 $22K
82570 7,345 6,868 $21K
86200 2,823 2,445 $21K
86008 1,246 1,185 $20K
80164 2,287 2,183 $20K
81241 704 625 $20K
86225 2,614 2,426 $20K
87340 2,637 2,431 $20K
81270 1,963 1,822 $20K
87086 Culture, bacterial; quantitative colony count, urine 3,795 3,446 $20K
86148 4,241 1,584 $20K
88262 262 250 $19K
84432 1,963 1,828 $19K
86361 1,394 1,317 $19K
84255 1,336 1,264 $19K
80165 2,320 2,207 $19K
82627 1,349 1,279 $18K
86015 2,914 2,717 $18K
86364 2,453 2,320 $18K
85300 2,015 1,883 $18K
82397 2,043 1,954 $18K
80321 2,429 2,043 $18K
81374 673 629 $18K
84305 1,384 1,341 $17K
86648 1,980 1,880 $17K
83090 1,958 1,848 $17K
86140 5,425 5,100 $17K
82523 2,642 2,469 $17K
85041 7,872 7,423 $16K
88230 284 271 $16K
82670 845 793 $16K
85598 1,464 1,344 $16K
85018 8,989 8,513 $16K
87088 2,392 2,160 $16K
80353 2,595 2,122 $14K
86757 886 845 $14K
82175 1,349 1,221 $14K
83825 1,626 1,473 $14K
80201 1,712 1,596 $14K
86340 1,647 1,576 $13K
83001 1,098 1,027 $13K
80503 1,217 1,153 $13K
82985 2,527 2,328 $13K
81229 26 25 $12K
83519 1,284 1,185 $12K
83002 1,012 954 $12K
80359 2,322 1,794 $12K
85597 1,079 1,031 $12K
80358 2,769 2,418 $12K
80366 1,311 1,140 $12K
84202 1,989 1,783 $11K
85014 6,530 6,118 $11K
84080 2,142 2,010 $11K
86036 1,589 1,380 $11K
86381 1,217 1,125 $11K
87521 Neg quan hep c or qual rna 458 443 $11K
81403 261 249 $11K
84597 1,248 1,171 $11K
87186 2,344 2,047 $11K
82105 795 739 $10K
80299 894 803 $10K
80368 7,985 5,618 $9K
86664 726 697 $9K
82746 1,277 1,178 $9K
81219 665 635 $9K
82705 3,085 2,937 $9K
82043 2,041 1,981 $9K
86762 843 778 $9K
82157 488 476 $9K
85305 914 862 $9K
82552 1,804 1,699 $9K
81207 237 220 $8K
80360 1,070 944 $8K
81256 299 276 $8K
83540 1,917 1,832 $8K
84702 903 853 $8K
84480 1,037 960 $8K
80356 1,047 900 $8K
86161 1,041 979 $8K
82390 1,185 1,078 $8K
83625 1,072 991 $8K
85302 816 779 $8K
84075 3,855 3,646 $8K
82550 2,082 1,982 $8K
83525 1,100 1,039 $8K
82172 1,076 1,011 $8K
83550 1,606 1,543 $8K
87081 1,776 1,669 $8K
83497 1,066 1,004 $8K
80156 781 714 $7K
86707 716 696 $7K
86747 454 434 $7K
86317 997 705 $7K
88142 482 471 $7K
80069 1,375 1,314 $7K
87077 1,427 1,270 $7K
81279 640 609 $7K
86039 1,078 1,014 $7K
88341 44 42 $7K
86706 950 879 $7K
84153 453 430 $7K
80372 876 776 $6K
84146 512 492 $6K
80364 858 757 $6K
80074 209 192 $6K
86334 308 296 $6K
86765 728 701 $6K
86735 739 718 $6K
84460 1,740 1,689 $6K
82977 1,287 1,216 $6K
80362 2,604 1,474 $6K
82677 344 336 $6K
80337 721 660 $6K
80320 897 835 $6K
86684 567 557 $5K
80048 Basic metabolic panel (calcium, ionized) 933 852 $5K
80370 702 645 $5K
80338 755 680 $5K
87350 656 622 $5K
80367 706 652 $5K
84252 421 408 $5K
84156 2,338 2,170 $5K
80326 702 648 $5K
81401 532 504 $5K
86704 529 508 $5K
80344 696 639 $5K
80340 703 646 $5K
83993 455 439 $5K
84165 622 559 $5K
87209 611 556 $5K
80345 885 788 $5K
80197 540 408 $4K
80357 836 742 $4K
87480 329 319 $4K
87510 329 319 $4K
87660 329 319 $4K
83992 762 698 $4K
87177 753 679 $4K
80333 706 649 $4K
81001 2,202 2,072 $4K
82103 451 424 $4K
83615 1,235 1,184 $4K
84100 1,422 1,344 $4K
86708 436 411 $4K
84436 1,084 1,025 $4K
88342 109 101 $4K
80369 7,115 4,847 $4K
86336 359 351 $4K
81339 574 544 $4K
85027 676 638 $4K
85610 1,304 1,208 $4K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 161 155 $3K
80377 693 642 $3K
84376 889 831 $3K
86663 273 260 $3K
88305 Level IV - Surgical pathology, gross and microscopic examination 108 80 $3K
86632 746 694 $3K
82747 261 243 $3K
87070 439 417 $3K
86256 451 409 $3K
82657 187 105 $3K
88377 48 37 $3K
87625 144 136 $3K
84681 255 240 $3K
82310 842 796 $3K
80371 361 249 $3K
83014 548 534 $3K
86631 264 254 $3K
82375 285 275 $3K
84155 996 909 $2K
86215 360 357 $2K
88271 75 63 $2K
82180 403 379 $2K
84378 293 282 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 19 19 $2K
80375 148 99 $2K
82248 664 640 $2K
86606 131 114 $2K
80157 249 238 $2K
83690 548 523 $2K
85670 518 496 $2K
85045 843 803 $2K
86431 548 542 $2K
80330 699 642 $2K
86617 107 103 $2K
81402 109 100 $2K
80076 314 297 $2K
82540 616 583 $2K
83605 263 237 $2K
84450 498 477 $2K
80500 807 694 $2K
87254 135 133 $2K
81291 430 388 $2K
87449 271 247 $2K
81479 Unlisted molecular pathology procedure 680 611 $1K
84260 122 116 $1K
84154 98 92 $1K
84145 94 86 $1K
82608 150 139 $1K
87110 74 71 $1K
83785 68 66 $1K
82672 82 81 $1K
80186 88 82 $1K
83521 57 53 $982.95
86618 75 74 $973.17
83018 59 59 $971.26
84591 295 285 $960.57
82150 290 270 $924.28
86644 98 87 $914.56
80195 87 64 $846.92
85307 72 70 $845.71
87329 105 101 $843.50
84550 287 275 $769.12
80352 148 99 $742.35
82565 222 214 $730.44
82668 64 61 $729.13
82495 55 55 $706.26
83883 87 50 $702.84
80335 134 93 $683.22
86705 74 74 $629.92
84442 74 72 $620.15
82533 65 60 $616.77
85549 53 51 $569.65
85652 265 233 $550.80
82308 43 41 $535.81
85651 244 226 $499.20
84466 57 54 $490.61
82941 50 50 $487.81
87140 123 112 $486.17
82642 39 37 $483.62
83874 60 60 $479.81
80171 43 41 $467.08
86794 40 37 $460.90
87147 65 64 $437.66
86710 31 29 $404.44
82330 43 43 $380.71
82300 29 29 $379.88
86850 94 93 $377.65
83789 33 33 $331.38
82947 128 123 $325.63
84481 30 30 $323.55
80180 28 26 $316.53
86788 28 26 $312.15
85230 25 25 $306.50
81005 246 243 $293.45
86698 19 13 $291.61
82247 86 80 $287.36
88112 16 15 $283.13
86258 26 26 $280.65
86300 24 24 $261.40
86789 26 24 $258.10
80168 26 24 $249.24
84520 65 64 $243.25
82232 32 28 $234.83
82595 60 56 $231.46
83986 90 82 $197.12
86645 28 28 $191.40
86901 61 60 $170.43
86900 61 60 $170.43
84478 46 42 $161.17
86778 13 13 $156.92
82465 54 51 $152.63
86777 12 12 $149.86
86790 24 24 $139.43
83945 16 14 $136.63
87109 14 14 $131.61
82373 12 12 $122.30
81003 89 84 $113.72
87324 17 17 $113.11
82104 16 15 $105.70
87168 94 92 $98.57
84479 73 62 $93.82
85301 14 12 $91.06
86702 12 12 $89.17
85004 17 16 $85.83
86593 28 26 $85.13
86701 12 12 $62.71
87101 13 12 $60.87
85049 16 15 $57.20
87205 17 16 $55.51
80178 13 12 $53.64
82950 12 12 $52.25
86403 12 12 $49.35
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 60 52 $48.94
85048 17 16 $34.09
99001 38 32 $6.38
81327 209 193 $0.00
81243 16 13 $0.00