Medicaid Provider Spending

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

BOULDER GX

NPI: 1447911409 · SPRING, TX 77386 · Clinical Medical Laboratory · NPI assigned 01/03/2022

$120K
Total Medicaid Paid
9,624
Total Claims
7,519
Beneficiaries
27
Codes Billed
2022-05
First Month
2024-05
Last Month

Provider Details

Authorized OfficialZACK, SCOTT (OWNER)
NPI Enumeration Date01/03/2022

Related Entities

Other providers sharing the same authorized official: ZACK, SCOTT

ProviderCityStateTotal Paid
TOTAL LAB SOLUTIONS LLC TROY MI $768K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 4,553 $89K
2023 4,541 $21K
2024 530 $10K

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 892 753 $54K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 171 152 $18K
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 851 753 $18K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,082 681 $12K
87631 197 189 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 355 279 $2K
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 1,969 1,940 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 183 135 $1K
87481 104 68 $641.20
87590 142 100 $621.08
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 180 116 $605.05
86696 127 88 $487.62
87625 130 91 $398.18
86780 127 88 $364.77
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 451 294 $332.60
87563 17 14 $327.55
87500 70 48 $309.07
86695 128 89 $298.73
87808 137 95 $278.23
87640 508 332 $232.51
87486 610 410 $196.44
87641 57 39 $177.07
87541 592 392 $164.86
87581 483 317 $63.10
87086 Culture, bacterial; quantitative colony count, urine 14 13 $17.21
87653 12 12 $0.00
87632 35 31 $0.00