Medicaid Provider Spending

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

PATHOLOGY REFERENCE LABORATORY, L.L.C.

NPI: 1538157086 · SAN ANTONIO, TX 78229 · Clinical Medical Laboratory · NPI assigned 10/10/2005

$4.70M
Total Medicaid Paid
182,213
Total Claims
172,059
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUPNOW, SCOTT (CEO)
NPI Enumeration Date10/10/2005

Related Entities

Other providers sharing the same authorized official: RUPNOW, SCOTT

ProviderCityStateTotal Paid
PATHOLOGY ASSOCIATES OF SAN ANTONIO, L.L.P. SAN ANTONIO TX $969K
FOUNDATIONS, INC. SAN ANTONIO TX $37K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,984 $225K
2019 7,843 $184K
2020 23,679 $533K
2021 50,075 $1.24M
2022 41,615 $1.08M
2023 29,806 $813K
2024 20,211 $618K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 30,821 29,985 $761K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 30,560 29,747 $752K
81513 8,656 8,362 $532K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 19,046 18,445 $448K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 22,719 22,428 $433K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,064 5,715 $366K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 13,151 12,964 $326K
87481 15,383 11,466 $282K
87653 9,226 8,682 $216K
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 1,834 1,693 $123K
88141 6,518 6,421 $110K
88342 1,498 1,191 $81K
87511 3,211 3,108 $53K
88142 2,839 2,776 $41K
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 1,543 1,434 $34K
88312 231 223 $20K
87480 1,567 1,507 $20K
88341 178 164 $16K
88304 454 437 $15K
87660 1,555 1,501 $15K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 266 264 $15K
87510 1,557 1,499 $14K
87625 380 372 $9K
88173 74 69 $6K
87529 111 101 $4K
87070 362 349 $2K
88313 110 56 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 43 42 $718.37
87186 53 45 $187.87
87075 42 41 $183.19
87205 77 75 $182.12
87077 14 12 $30.75
G0476 Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test 307 221 $0.00
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 763 664 $0.00