Medicaid Provider Spending

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

ROCKY MOUNTAIN LABORATORIES LLC

NPI: 1619618469 · DRAPER, UT 84020 · Clinical Medical Laboratory · NPI assigned 04/05/2022

$2.05M
Total Medicaid Paid
72,578
Total Claims
58,691
Beneficiaries
52
Codes Billed
2022-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTIPIANI, DONNA (BILLING MANAGER)
NPI Enumeration Date04/05/2022

Related Entities

Other providers sharing the same authorized official: TIPIANI, DONNA

ProviderCityStateTotal Paid
ROCKY MOUNTAIN LABORATORIES LLC AURORA CO $42K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 911 $23K
2023 21,996 $541K
2024 49,671 $1.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 10,090 7,957 $869K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 7,435 6,344 $318K
87481 5,140 4,378 $175K
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 3,666 1,949 $165K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,410 1,740 $133K
87653 4,999 4,263 $63K
87631 3,349 2,980 $49K
87500 2,633 2,314 $35K
87641 2,634 2,315 $33K
87511 2,295 1,883 $26K
87563 2,200 1,753 $25K
87529 1,334 1,162 $24K
87640 1,688 1,493 $24K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2,310 1,898 $24K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 477 461 $15K
87505 291 273 $15K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,555 1,352 $14K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,426 1,249 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,208 1,064 $9K
87506 48 47 $4K
80053 Comprehensive metabolic panel 1,230 993 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 460 384 $2K
80061 Lipid panel 796 681 $2K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 33 30 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,095 877 $2K
83036 Hemoglobin; glycosylated (A1C) 841 727 $2K
81003 2,546 2,147 $1K
36415 Collection of venous blood by venipuncture 3,226 2,522 $1K
80050 General health panel 52 52 $1K
84443 Thyroid stimulating hormone (TSH) 552 438 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 72 61 $585.04
84439 213 165 $443.44
82607 177 150 $333.04
80047 117 95 $314.72
82570 188 175 $239.56
83735 138 98 $218.52
82044 193 172 $198.57
86481 34 18 $102.22
84481 41 35 $96.16
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 1,737 1,466 $95.19
82746 28 28 $94.39
83540 53 47 $65.64
82728 37 29 $65.10
84436 60 51 $58.86
85652 120 82 $51.09
84550 101 91 $30.80
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 30 27 $25.00
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) 154 110 $4.22
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 30 29 $0.00
87541 12 12 $0.00
87486 12 12 $0.00
87581 12 12 $0.00