Medicaid Provider Spending

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

PRIME LABORATORIES LLC

NPI: 1508247073 · BROKEN ARROW, OK 74012 · Clinical Medical Laboratory · NPI assigned 06/10/2015

$201K
Total Medicaid Paid
10,477
Total Claims
9,547
Beneficiaries
47
Codes Billed
2018-01
First Month
2018-11
Last Month

Provider Details

Authorized OfficialCONLEY, BEN (CEO)
NPI Enumeration Date06/10/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,477 $201K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,911 1,716 $59K
87900 323 309 $23K
87799 306 292 $17K
87500 320 306 $7K
87653 320 306 $7K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 385 306 $7K
87641 293 283 $7K
87652 321 307 $7K
87640 294 281 $6K
87482 277 267 $6K
87481 319 305 $5K
87186 130 124 $4K
83970 183 172 $4K
80050 General health panel 105 103 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 39 39 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 191 180 $3K
87634 39 39 $3K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 39 39 $3K
82172 318 180 $2K
84403 189 174 $2K
84481 198 183 $2K
80061 Lipid panel 209 195 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 39 39 $1K
87581 39 39 $1K
87486 39 39 $1K
87541 39 39 $1K
86376 196 181 $1K
82728 185 173 $1K
82670 79 70 $987.66
82607 107 105 $929.25
84439 195 180 $843.67
84144 79 70 $805.84
83001 81 72 $804.37
82533 139 129 $779.54
83002 79 71 $766.19
83036 Hemoglobin; glycosylated (A1C) 193 181 $739.63
84146 80 71 $719.19
83525 130 123 $681.93
83550 128 121 $674.76
83540 187 175 $620.42
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 1,233 1,125 $222.96
84153 16 13 $161.12
82627 15 13 $153.80
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 276 229 $123.87
85025 Blood count; complete (CBC), automated, and automated differential WBC count 65 57 $71.28
80053 Comprehensive metabolic panel 74 62 $66.09
84443 Thyroid stimulating hormone (TSH) 75 64 $41.05