Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Encore Diagnostics, LLC

Encore Diagnostics, LLC was paid $1.63M by Medicaid between Jan 2021 and Sep 2023, across 9 billing codes. Its largest line is 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 — 66% of everything it billed.

33Billing provider infoENCORE DIAGNOSTICS, LLC
TROY, MI 48084
33aNPI1598351538assigned 12/14/2020
28Total paid$1.63M
24GClaims36,459
24DCodes billed9
24AFirst – last monthJan 2021 – Sep 2023
Compared with peers

Next to other Clinical Medical Laboratory providers in Michigan

Rank by total paid#31 of 108
Median peer was paid$588K
This provider vs. median2.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
202122,493$946K
202211,283$463K
20232,683$224K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 66% 17,308 16,281 $1.08M
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 21% 16,918 15,915 $345K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 12% 1,837 1,731 $200K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 88 60 $3K
87529 <1% 62 60 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 60 58 $610.05
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 62 60 $552.01
87511 <1% 62 60 $493.85
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 62 60 $464.86

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGABALI, ALI (AUTHORIZED OFFICIAL)
Same official

Other billing entities under GABALI, ALI

Full network →
ProviderLocationPaid
Michigan Innovative Diagnostics LLCShelby Township, MI$272K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.