Medicaid Provider Spending

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

COV19 PLUS TESTING LABORATORY

NPI: 1588261804 · CHANDLER, AZ 85224 · Clinical Medical Laboratory · NPI assigned 10/09/2020

$3K
Total Medicaid Paid
53
Total Claims
53
Beneficiary Records
2
Codes Billed
2023-07
First Month
2023-07
Last Month

Provider Details

Authorized OfficialALI, RUSTOM (CONSULTANT)
NPI Enumeration Date10/09/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 53 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
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 17 17 $2K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 36 36 $2K