SAINT LUKES ROOSEVELT HOSPITAL LAB
NPI: 1497780019
· NEW YORK, NY 10019
· Military Clinical Medical Laboratory
· NPI assigned 07/12/2006
$246K
Total Medicaid Paid
Provider Details
| Authorized Official | WENIG, BRUCE (CHAIRMAN) |
| NPI Enumeration Date | 07/12/2006 |
Related Entities
Other providers sharing the same authorized official: WENIG, BRUCE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
48 |
$0.00 |
| 2020 |
171 |
$10K |
| 2021 |
2,638 |
$146K |
| 2022 |
1,198 |
$60K |
| 2023 |
498 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 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 |
4,454 |
4,341 |
$245K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
51 |
51 |
$1K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
17 |
17 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
18 |
18 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
13 |
13 |
$0.00 |