Medicaid Provider Spending

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

HEALTH NETWORK LABORATORIES, LLC

NPI: 1548280852 · ALLENTOWN, PA 18109 · Clinical Medical Laboratory · NPI assigned 07/20/2006

$47.53M
Total Medicaid Paid
2,167,394
Total Claims
2,023,668
Beneficiaries
310
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTILL, MARTIN (PRESIDENT & CEO)
NPI Enumeration Date07/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30,265 $328K
2019 30,601 $334K
2020 113,065 $2.83M
2021 518,273 $12.95M
2022 501,683 $11.76M
2023 526,286 $10.49M
2024 447,221 $8.85M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 117,164 108,794 $9.10M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 21,178 20,728 $2.24M
80050 General health panel 47,633 46,689 $1.96M
87631 13,397 13,065 $1.82M
88305 Level IV - Surgical pathology, gross and microscopic examination 46,272 35,714 $1.73M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 71,885 70,308 $1.73M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 28,503 25,228 $1.60M
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 2,634 2,574 $1.54M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 64,822 63,325 $1.49M
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 41,572 40,292 $1.36M
80061 Lipid panel 98,992 97,088 $1.26M
80053 Comprehensive metabolic panel 119,596 111,655 $1.19M
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 37,025 36,529 $1.07M
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 19,066 16,442 $1.06M
84443 Thyroid stimulating hormone (TSH) 47,584 46,190 $898K
87800 36,373 35,240 $799K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 21,696 21,412 $790K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 24,524 24,037 $638K
86480 8,712 8,510 $565K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 102,803 93,230 $532K
88342 12,286 9,847 $504K
88307 12,122 10,700 $482K
86803 27,027 26,535 $481K
86780 27,995 27,321 $394K
87086 Culture, bacterial; quantitative colony count, urine 53,513 50,851 $391K
80081 4,728 4,645 $361K
83036 Hemoglobin; glycosylated (A1C) 57,411 56,028 $348K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 10,073 9,564 $343K
87653 8,601 8,458 $323K
82728 26,536 25,710 $290K
86003 3,004 2,783 $271K
84466 17,058 16,586 $255K
87536 2,465 2,415 $250K
80048 Basic metabolic panel (calcium, ionized) 31,521 26,985 $230K
85027 34,234 32,064 $212K
86706 17,266 16,863 $205K
87522 Neg quan hep c or qual rna 5,959 5,750 $201K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 595 560 $201K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 6,201 6,043 $201K
86235 4,800 4,627 $199K
82607 17,223 16,667 $188K
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 30,717 27,881 $184K
80074 4,287 4,132 $176K
88341 3,787 3,111 $172K
83970 4,776 4,641 $171K
84702 11,234 8,997 $171K
86618 5,483 5,379 $167K
84403 6,484 6,330 $163K
84439 21,031 20,327 $147K
87340 10,972 10,744 $147K
82570 23,270 22,663 $143K
83540 19,367 18,811 $143K
88112 2,953 2,326 $140K
88360 2,025 1,606 $135K
84153 5,948 5,818 $126K
82043 18,356 18,024 $125K
86038 8,167 7,970 $114K
87186 15,654 15,025 $112K
87077 16,279 15,631 $107K
82784 6,840 6,649 $107K
83655 10,374 10,204 $106K
87507 839 819 $105K
84146 4,596 4,490 $103K
88304 8,866 7,613 $99K
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 2,664 2,645 $99K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 213 207 $95K
86704 6,858 6,699 $95K
83735 16,067 13,784 $91K
81001 34,618 33,251 $91K
86708 6,591 6,429 $89K
86360 1,489 1,459 $85K
86696 3,852 3,768 $85K
83001 5,016 4,905 $82K
84270 3,334 3,260 $80K
85610 23,354 14,510 $77K
88189 1,106 1,047 $76K
82670 3,766 3,668 $76K
86225 4,911 4,805 $67K
86160 3,152 3,060 $67K
86359 1,492 1,462 $67K
88312 1,439 1,103 $66K
0202U Oncology (prostate), multianalyte, gene expression profiling 371 356 $62K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 1,617 1,567 $60K
88313 2,143 1,875 $60K
86695 3,098 3,039 $59K
84481 2,844 2,781 $58K
36415 Collection of venous blood by venipuncture 97,991 82,463 $58K
82746 6,104 5,904 $58K
83525 5,352 5,216 $56K
86665 1,696 1,658 $56K
86200 4,076 4,010 $55K
83002 3,397 3,327 $54K
85652 19,654 18,819 $54K
86140 19,122 17,992 $54K
82105 2,946 2,847 $53K
81329 593 563 $53K
81514 761 738 $52K
88141 7,658 7,567 $51K
84165 4,392 3,997 $51K
81003 17,937 17,511 $49K
80164 3,434 3,191 $48K
83880 1,789 1,647 $47K
87634 673 658 $44K
86147 779 762 $44K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 2,181 2,148 $43K
87081 8,341 8,070 $43K
86039 2,950 2,891 $41K
86617 1,412 1,364 $40K
86800 2,392 2,338 $40K
86431 5,506 5,412 $39K
82950 5,959 5,866 $38K
86762 2,057 1,998 $37K
80076 4,537 4,309 $37K
87070 5,572 5,294 $35K
82627 1,682 1,651 $34K
81374 522 501 $34K
86850 4,186 3,950 $33K
86664 1,640 1,611 $31K
88311 2,278 1,811 $31K
83021 1,600 1,532 $30K
82977 3,897 3,515 $29K
84100 5,682 4,808 $29K
84156 7,727 7,089 $29K
86663 1,647 1,618 $27K
86787 1,622 1,559 $27K
84550 4,992 4,705 $26K
87209 1,341 1,143 $26K
82248 5,143 4,702 $26K
86146 588 572 $26K
82533 2,254 2,109 $26K
83498 1,244 1,216 $25K
88173 754 629 $23K
84460 3,548 3,462 $23K
88142 1,440 1,431 $23K
86376 2,999 2,939 $23K
88302 2,451 2,234 $23K
84630 1,795 1,753 $22K
87529 1,003 976 $22K
82550 3,481 3,276 $22K
84480 2,994 2,889 $22K
87205 5,254 4,986 $21K
82951 1,697 1,667 $21K
80197 1,902 1,288 $20K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,275 2,153 $20K
84590 1,545 1,513 $19K
86705 1,238 1,220 $19K
84436 2,561 2,487 $18K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 398 388 $18K
82024 468 451 $17K
83993 850 830 $17K
86900 4,460 4,226 $17K
86901 4,367 4,136 $17K
85730 2,778 2,670 $17K
86318 1,005 987 $17K
84144 1,149 1,057 $17K
87902 187 178 $16K
88309 359 319 $16K
84425 2,250 2,192 $16K
84305 653 638 $15K
87075 1,637 1,591 $15K
80069 1,983 1,821 $15K
87088 1,995 1,942 $15K
87147 4,265 4,145 $14K
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 21,893 13,588 $14K
87517 399 379 $14K
84432 664 642 $14K
84445 675 658 $14K
86364 2,689 2,626 $13K
83921 813 788 $13K
84166 825 737 $13K
84207 395 377 $13K
87493 375 371 $13K
83690 2,761 2,668 $13K
84154 766 749 $13K
82247 1,893 1,318 $12K
86765 1,092 1,057 $12K
80178 1,856 1,581 $12K
87486 325 317 $12K
82785 721 707 $12K
82565 2,099 1,592 $11K
80177 978 929 $11K
83615 1,815 1,588 $11K
82274 3,507 3,420 $11K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 115 109 $10K
84402 404 393 $10K
87177 1,339 1,143 $10K
84134 533 474 $9K
82378 624 525 $9K
83721 1,011 964 $9K
85007 2,124 2,057 $9K
87581 477 466 $8K
86255 363 359 $8K
82947 2,241 2,180 $8K
85045 1,843 1,746 $8K
86769 452 440 $7K
86008 109 96 $7K
85379 765 728 $7K
85613 579 566 $6K
82575 609 594 $6K
88331 252 229 $6K
84450 925 900 $6K
82330 708 640 $6K
87338 951 932 $6K
82652 128 125 $5K
82525 473 457 $5K
86334 282 274 $5K
84681 201 198 $5K
86592 1,393 1,349 $5K
86036 485 467 $5K
88300 1,268 1,137 $5K
83516 656 598 $5K
82952 1,412 1,388 $5K
82150 1,011 972 $4K
81596 98 94 $4K
83521 239 226 $4K
85018 1,723 1,548 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 275 265 $4K
81015 1,546 1,520 $4K
88333 92 84 $4K
86645 177 171 $4K
83520 427 403 $4K
86709 260 252 $4K
82088 142 134 $3K
82164 181 178 $3K
87563 122 120 $3K
86644 182 176 $3K
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 36 30 $3K
84155 775 748 $3K
82310 520 488 $3K
86812 243 236 $3K
80175 228 224 $3K
87481 103 92 $3K
80156 163 149 $3K
85245 84 81 $2K
86304 131 111 $2K
89051 376 295 $2K
85014 1,056 900 $2K
82140 504 461 $2K
87102 252 240 $2K
87101 220 219 $2K
86015 232 225 $2K
82085 232 226 $2K
82390 209 204 $2K
86308 277 274 $2K
86735 432 415 $2K
84244 139 133 $2K
84478 248 228 $2K
82672 110 108 $1K
86300 61 51 $1K
83835 108 98 $1K
83010 118 113 $1K
84520 272 264 $1K
86317 20 14 $1K
82103 77 70 $1K
81511 12 12 $1K
85246 38 37 $1K
82955 127 127 $1K
82239 68 58 $991.08
88344 16 16 $991.08
82157 39 38 $974.93
81025 240 232 $960.70
88377 18 15 $938.77
87220 241 240 $924.69
87641 31 31 $853.51
86593 127 121 $708.26
86341 26 25 $689.31
87497 24 12 $676.80
84132 118 104 $638.98
85097 40 39 $632.88
81241 12 12 $596.97
87521 Neg quan hep c or qual rna 14 14 $550.22
85240 44 42 $537.86
86381 69 67 $527.47
81050 408 398 $503.93
86141 52 50 $502.10
82653 27 26 $476.34
86256 55 52 $456.09
82787 13 13 $415.92
84484 47 41 $390.90
87110 16 16 $378.14
89060 52 48 $320.66
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 156 128 $315.54
82040 113 105 $310.71
87329 24 24 $290.92
87045 38 37 $254.91
86231 28 28 $243.57
87076 25 24 $195.72
84145 26 25 $183.10
85660 59 58 $179.03
82340 25 25 $175.70
86611 12 12 $159.09
87040 14 12 $145.38
87107 12 12 $142.17
82397 27 27 $128.35
86666 12 12 $119.71
87449 29 28 $110.29
87324 28 27 $110.29
83605 15 15 $100.32
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) 3,894 2,259 $98.67
82945 27 24 $93.44
86060 13 13 $84.16
84300 14 12 $80.30
82465 14 14 $79.63
85004 15 12 $61.12
89055 13 12 $54.00
84075 12 12 $53.07
82438 15 15 $48.90
87140 16 16 $45.62
86682 38 38 $8.46
36416 346 241 $3.41