Medicaid Provider Spending

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

SOUTHLAKE DIAGNOSTICS INC

NPI: 1447925516 · SOUTHLAKE, TX 76092 · Clinical Medical Laboratory · NPI assigned 08/11/2021

$6K
Total Medicaid Paid
2,044
Total Claims
1,606
Beneficiaries
5
Codes Billed
2021-08
First Month
2022-11
Last Month

Provider Details

Authorized OfficialSTABLES, DONALD (CEO)
NPI Enumeration Date08/11/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 438 $0.00
2022 1,606 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
86409 504 463 $5K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 517 469 $984.14
86408 279 244 $762.55
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 210 195 $158.11
86769 534 235 $0.00