Medicaid Provider Spending

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

SUPREME MEDICAL LABORATORIES LLC

NPI: 1619488418 · FRISCO, TX 75034 · Clinical Medical Laboratory · NPI assigned 10/19/2017

$1.16M
Total Medicaid Paid
45,299
Total Claims
33,385
Beneficiaries
67
Codes Billed
2020-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, ROSS (CEO)
NPI Enumeration Date10/19/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,626 $20K
2021 5,297 $81K
2022 8,318 $136K
2023 9,108 $31K
2024 19,950 $896K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 5,238 2,295 $366K
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 4,195 2,765 $132K
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 944 913 $131K
87481 2,534 2,132 $87K
87632 649 609 $57K
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 3,013 2,147 $42K
87640 2,138 1,975 $38K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,035 996 $36K
87500 1,403 1,320 $24K
87653 1,045 978 $22K
87563 989 917 $20K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 179 175 $18K
87551 770 729 $16K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 950 883 $16K
87556 776 732 $16K
87486 829 782 $15K
87581 827 780 $15K
81225 568 503 $14K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,148 1,377 $13K
81401 1,097 503 $12K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 531 370 $11K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 371 358 $8K
87150 2,054 190 $7K
87511 304 281 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 287 268 $5K
87529 274 235 $5K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 264 247 $5K
87541 243 240 $4K
81241 570 505 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 276 258 $4K
81355 568 503 $3K
81240 570 505 $3K
81291 568 503 $3K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 171 163 $2K
81226 574 503 $2K
81105 413 389 $1K
81227 574 503 $928.04
87498 50 47 $76.65
80061 Lipid panel 59 57 $25.50
87641 17 16 $15.33
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 29 29 $0.00
86780 13 12 $0.00
81306 576 505 $0.00
81231 574 503 $0.00
87483 13 12 $0.00
84443 Thyroid stimulating hormone (TSH) 45 43 $0.00
84436 12 12 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 63 59 $0.00
87505 13 12 $0.00
81283 39 38 $0.00
81230 39 38 $0.00
81350 39 38 $0.00
80053 Comprehensive metabolic panel 59 58 $0.00
83036 Hemoglobin; glycosylated (A1C) 28 27 $0.00
87181 13 12 $0.00
81407 85 82 $0.00
86684 13 12 $0.00
81406 58 56 $0.00
81404 58 56 $0.00
81232 574 503 $0.00
81479 Unlisted molecular pathology procedure 1,569 453 $0.00
81335 574 503 $0.00
81408 34 32 $0.00
81328 574 503 $0.00
81405 59 56 $0.00
81403 42 41 $0.00
81249 39 38 $0.00