Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Medarbor LLC

Medarbor LLC was paid $15.84M by Medicaid between Jan 2018 and Dec 2024, across 109 billing codes. Its largest line is 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 — 56% of everything it billed.

33Billing provider infoMEDARBOR LLC
BRISTOL, PA 19007
33aNPI1477076941assigned 07/17/2017
28Total paid$15.84M
24GClaims724,409
24DCodes billed109
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Pennsylvania

Rank by total paid#11 of 95
Median peer was paid$153K
This provider vs. median104×

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$500K$1.0M$1.5M2018201920202021202220232024
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
201863,068$592K
201978,070$1.39M
2020151,765$4.88M
2021203,098$5.08M
2022160,212$2.91M
202356,831$806K
2024incomplete11,365$170K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 56% 182,908 61,251 $8.82M
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 8.3% 99,338 31,792 $1.31M
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 7.8% 32,846 23,897 $1.24M
87150 5.0% 10,203 8,021 $785K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3.4% 68,135 19,298 $543K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 2.3% 12,951 9,789 $371K
87481 2.3% 25,195 20,060 $365K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1.5% 1,934 1,634 $239K
87640 1.2% 29,842 23,722 $191K
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 <1% 7,554 2,940 $146K
87653 <1% 23,572 18,932 $108K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 7,712 2,493 $102K
97 more codes
87641 <1% 17,406 $95K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 5,873 $91K
87500 <1% 16,910 $90K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 5,757 $89K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 5,755 $84K
87634 <1% 4,061 $82K
87799 <1% 10,024 $63K
87541 <1% 8,520 $53K
87486 <1% 4,635 $47K
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 <1% 732 $47K
87581 <1% 4,639 $46K
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 <1% 1,763 $43K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 3,625 $39K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,282 $34K
80361 <1% 4,479 $27K
80346 <1% 3,838 $27K
80362 <1% 4,588 $26K
80329 <1% 4,250 $26K
80356 <1% 4,199 $26K
80354 <1% 4,376 $26K
80373 <1% 4,390 $25K
80369 <1% 4,250 $25K
80367 <1% 4,277 $25K
80372 <1% 4,212 $25K
80358 <1% 4,410 $25K
80365 <1% 4,430 $25K
80353 <1% 4,433 $25K
80355 <1% 4,294 $25K
80368 <1% 4,247 $25K
80360 <1% 4,271 $25K
80366 <1% 4,283 $25K
80359 <1% 4,556 $25K
87542 <1% 2,684 $18K
80335 <1% 1,557 $16K
80332 <1% 1,551 $16K
87631 <1% 519 $16K
80324 <1% 1,556 $16K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 2,587 $15K
83992 <1% 3,309 $15K
80349 <1% 3,410 $15K
80371 <1% 2,660 $15K
80338 <1% 2,284 $14K
80342 <1% 2,480 $12K
80336 <1% 2,641 $11K
80348 <1% 3,018 $11K
80333 <1% 2,677 $10K
80325 <1% 2,872 $9K
87529 <1% 185 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 224 $5K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 51 $4K
87511 <1% 230 $3K
86409 <1% 157 $3K
87186 <1% 1,151 $3K
87088 <1% 2,183 $3K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,761 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 92 $2K
82570 <1% 2,232 $2K
80377 <1% 100 $2K
86408 <1% 180 $2K
81003 <1% 3,392 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 130 $1K
80061 Lipid panel <1% 158 $539.69
83970 <1% 91 $494.88
82670 <1% 117 $486.09
82746 <1% 137 $454.18
82607 <1% 101 $408.40
83880 <1% 17 $376.80
84403 <1% 90 $348.16
80053 Comprehensive metabolic panel <1% 206 $320.16
84443 Thyroid stimulating hormone (TSH) <1% 90 $302.94
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 255 $298.85
84480 <1% 148 $268.53
83090 <1% 71 $219.22
82728 <1% 116 $213.90
87506 <1% 63 $210.31
84145 <1% 67 $202.45
84144 <1% 81 $200.00
83735 <1% 95 $149.94
83036 Hemoglobin; glycosylated (A1C) <1% 57 $146.61
85027 <1% 150 $144.36
84436 <1% 146 $130.01
82533 <1% 67 $121.21
83002 <1% 53 $106.33
84466 <1% 148 $96.92
82977 <1% 70 $84.88
84153 <1% 16 $81.83
80076 <1% 71 $68.98
83001 <1% 52 $68.63
80048 Basic metabolic panel (calcium, ionized) <1% 66 $67.21
84481 <1% 151 $60.96
84479 <1% 92 $58.78
83550 <1% 114 $54.55
84550 <1% 70 $53.20
36415 Collection of venous blood by venipuncture <1% 90 $40.06
84439 <1% 149 $39.69
83540 <1% 91 $38.40
86140 <1% 25 $12.63

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 officialLEGOWSKI, MATTHEW (OPERATION)
Same official

Other billing entities under LEGOWSKI, MATTHEW

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