Medicaid Provider Spending

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

APC HEALTH LLC

NPI: 1588034219 · PEARLAND, TX 77584 · Clinical Medical Laboratory · NPI assigned 10/07/2015

$2.32M
Total Medicaid Paid
169,610
Total Claims
159,478
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNATH, ROHAN (BILLING MANAGER)
NPI Enumeration Date10/07/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27,152 $148K
2019 19,825 $300K
2020 19,191 $269K
2021 64,771 $889K
2022 34,342 $652K
2023 3,774 $60K
2024 555 $3K

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 8,458 7,874 $504K
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 2,573 2,228 $205K
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 7,756 7,287 $147K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 927 900 $104K
80348 5,610 5,354 $84K
80321 4,916 4,669 $71K
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 4,031 3,762 $65K
80363 4,871 4,655 $64K
80325 3,832 3,677 $57K
80333 2,998 2,851 $53K
83992 5,574 5,317 $48K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,004 2,738 $45K
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 2,190 1,788 $44K
80346 5,602 5,342 $43K
80361 5,605 5,344 $43K
80354 5,589 5,330 $42K
80356 5,534 5,280 $42K
80365 5,649 5,387 $41K
80358 5,645 5,386 $40K
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 2,719 2,327 $39K
80373 5,587 5,327 $39K
80353 5,646 5,386 $38K
80372 5,186 4,932 $38K
80370 2,419 2,324 $38K
80367 4,983 4,735 $37K
80359 5,228 4,973 $35K
80366 4,999 4,757 $35K
80355 5,403 5,157 $34K
80336 3,570 3,412 $33K
80368 4,253 4,063 $29K
80357 3,967 3,768 $29K
80323 3,719 3,540 $28K
80349 3,839 3,692 $28K
80345 3,959 3,758 $24K
80360 3,393 3,252 $24K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 607 587 $12K
80324 1,695 1,600 $10K
80369 1,879 1,792 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,150 1,049 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,900 1,839 $7K
80332 996 957 $4K
80335 495 465 $1K
80362 654 617 $851.10