Lab
Valley Diagnostic Laboratories INC
Valley Diagnostic Laboratories INC was paid $390K by Medicaid between Jan 2018 and Dec 2022, across 40 billing codes. Its largest line is 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 — 14% of everything it billed.
33Billing provider infoVALLEY DIAGNOSTIC LABORATORIES INC
GALLIPOLIS, OH 45631
GALLIPOLIS, OH 45631
33aNPI1609963834assigned 10/09/2006
33bProvider typeClinical Medical Laboratory
28Total paid$390K
24GClaims88,905
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Clinical Medical Laboratory providers in Ohio
Rank by total paid#56 of 116
Median peer was paid$313K
This provider vs. median1.2×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 22,286 | $247K | |
| 2019 | 21,003 | $43K | |
| 2020 | 15,260 | $39K | |
| 2021 | 15,072 | $23K | |
| 2022 | 15,284 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 14% | 15,865 | 9,581 | $56K |
| 36415 | Collection of venous blood by venipuncture | 14% | 17,761 | 10,671 | $55K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.7% | 6,489 | 5,207 | $30K |
| 80048 | Basic metabolic panel (calcium, ionized) | 7.1% | 7,253 | 5,533 | $28K |
| 80074 | 5.3% | 684 | 671 | $21K | |
| 84443 | Thyroid stimulating hormone (TSH) | 5.2% | 3,198 | 3,058 | $20K |
| 80061 | Lipid panel | 5.0% | 3,306 | 3,210 | $20K |
| 80053 | Comprehensive metabolic panel | 5.0% | 3,970 | 3,579 | $19K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 4.7% | 2,320 | 2,243 | $19K |
| 83036 | Hemoglobin; glycosylated (A1C) | 4.7% | 3,399 | 3,285 | $18K |
| 85027 | 3.1% | 4,086 | 3,347 | $12K | |
| 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) | 3.0% | 2,678 | 1,897 | $12K |
28 more codes
| 82140 | 2.3% | 1,223 | $9K | |
| 80076 | 2.3% | 2,117 | $9K | |
| 80164 | 2.1% | 1,110 | $8K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 2.0% | 1,952 | $8K |
| 87088 | 1.9% | 1,817 | $8K | |
| 85610 | 1.9% | 3,148 | $7K | |
| 86703 | 1.7% | 693 | $7K | |
| 81000 | 1.6% | 2,075 | $6K | |
| 87186 | 1.6% | 1,310 | $6K | |
| 83735 | 1.0% | 1,090 | $4K | |
| 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% | 56 | $2K |
| 84436 | <1% | 302 | $2K | |
| 84439 | <1% | 323 | $1K | |
| 83880 | <1% | 96 | $993.56 | |
| 82607 | <1% | 146 | $841.75 | |
| 82746 | <1% | 126 | $828.31 | |
| 84479 | <1% | 46 | $515.12 | |
| 84134 | <1% | 25 | $410.40 | |
| 80177 | <1% | 32 | $284.75 | |
| 80050 | General health panel | <1% | 20 | $212.20 |
| 82947 | <1% | 66 | $180.68 | |
| 83540 | <1% | 28 | $106.70 | |
| 80185 | <1% | 27 | $103.64 | |
| 82043 | <1% | 12 | $99.00 | |
| 84703 | <1% | 14 | $65.62 | |
| 83550 | <1% | 12 | $34.72 | |
| 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 | 0% | 18 | $0.00 |
| 82728 | 0% | 12 | $0.00 |
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 officialGOLDCAMP, KIMBERLY (OWNER/MANAGER)