Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

P4 Clinical LLC

P4 Clinical LLC was paid $964K by Medicaid between Jan 2018 and Nov 2024, across 104 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 — 68% of everything it billed.

33Billing provider infoP4 CLINICAL LLC
PINE BROOK, NJ 07058
33aNPI1447760814assigned 10/11/2017
28Total paid$964K
24GClaims115,464
24DCodes billed104
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in New Jersey

Rank by total paid#11 of 46
Median peer was paid$65K
This provider vs. median15×

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$25K$50K$75K2018201920202021202220232024
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
20182,893$6K
20191,970$4K
202019,062$369K
202125,640$442K
20229,889$16K
202329,947$66K
2024incomplete26,063$61K
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 68% 13,414 8,172 $653K
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 8.6% 6,179 3,507 $83K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 5.0% 1,940 1,571 $49K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3.3% 1,907 1,628 $31K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.2% 3,794 2,443 $11K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.1% 3,379 2,227 $11K
87481 1.1% 1,601 1,277 $11K
87506 <1% 420 356 $9K
80061 Lipid panel <1% 6,018 4,164 $9K
84443 Thyroid stimulating hormone (TSH) <1% 4,965 3,483 $7K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 297 259 $5K
87086 Culture, bacterial; quantitative colony count, urine <1% 3,178 2,624 $5K
92 more codes
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 8,667 $5K
87150 <1% 149 $5K
80053 Comprehensive metabolic panel <1% 8,486 $5K
87556 <1% 1,452 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,487 $4K
82607 <1% 2,909 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 5,104 $4K
87640 <1% 1,597 $4K
87653 <1% 1,519 $4K
87563 <1% 1,467 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 763 $3K
80050 General health panel <1% 485 $3K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 67 $2K
82746 <1% 1,949 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 768 $2K
87529 <1% 276 $2K
87500 <1% 922 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 478 $2K
84153 <1% 460 $2K
83993 <1% 456 $1K
87186 <1% 1,054 $1K
88112 <1% 397 $1K
84439 <1% 1,772 $1K
88342 <1% 1,704 $1K
87532 <1% 345 $1K
87496 <1% 290 $1K
87631 <1% 776 $1K
87581 <1% 234 $1K
84466 <1% 364 $857.15
82728 <1% 418 $836.70
87486 <1% 219 $733.45
36415 Collection of venous blood by venipuncture <1% 9,789 $673.69
88313 <1% 1,387 $660.62
84702 <1% 129 $659.29
88312 <1% 1,266 $633.19
81001 <1% 1,878 $359.64
82656 <1% 298 $343.01
83540 <1% 436 $335.36
87511 <1% 174 $253.60
87541 <1% 59 $233.90
88142 <1% 61 $214.49
83001 <1% 145 $212.81
82705 <1% 180 $203.22
86803 <1% 116 $182.00
83630 <1% 110 $180.83
87641 <1% 136 $174.23
87077 <1% 324 $157.68
82043 <1% 263 $127.57
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 32 $118.64
87177 <1% 29 $115.70
87338 <1% 82 $112.04
82570 <1% 293 $108.59
84480 <1% 15 $105.00
87498 <1% 104 $84.21
83520 <1% 77 $83.79
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 86 $83.46
80048 Basic metabolic panel (calcium, ionized) <1% 793 $79.19
85730 <1% 106 $56.83
87209 <1% 14 $53.44
85610 <1% 155 $52.70
84481 <1% 24 $45.50
87340 <1% 43 $43.42
82274 <1% 31 $41.40
86800 <1% 32 $40.00
84550 <1% 77 $36.12
85045 <1% 13 $31.08
82670 <1% 14 $27.94
86140 <1% 22 $27.38
86900 <1% 89 $25.55
86901 <1% 89 $25.55
84144 <1% 13 $23.09
85652 <1% 68 $21.37
83615 <1% 44 $20.12
84146 <1% 13 $19.38
83002 <1% 14 $18.52
83735 <1% 110 $16.57
82248 <1% 12 $15.09
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% 506 $12.32
83550 <1% 272 $10.10
87185 <1% 18 $5.48
84100 <1% 12 $5.03
86592 <1% 22 $4.85
80164 0% 151 $0.00
85008 0% 16 $0.00
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 0% 594 $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% 260 $0.00
85027 0% 137 $0.00
80177 0% 30 $0.00
84134 0% 13 $0.00
84378 0% 16 $0.00
88304 0% 17 $0.00
84436 0% 29 $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 officialKOTHANDARAM, SATHISH (PRESIDENT & CEO)
Same official

Other billing entities under KOTHANDARAM, SATHISH

Full network →
ProviderLocationPaid
Theranostix INCBeltsville, MD$5.27M
Long Island Pathology INCEast Setauket, NY$306K
Platinum Pathology, PLLCGlen Allen, VA$216K
Excel Medical Lab. INCEdison, NJ$150K
Theranostix INCIndianapolis, IN$8K
Metamark Laboratories, INC.Augusta, GA$569.11
P4 Diagnostix LLCBeltsville, MD$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.