SPECTRUM LAB CORP

NPI: 1629732052 · NILES, IL 60714 · Clinical Medical Laboratory · NPI assigned 10/22/2021

$45K

Total Medicaid Paid

1,720

Total Claims

1,601

Beneficiaries

Codes Billed

2022-11

First Month

2023-05

Last Month

Provider Details

Authorized Official	MOHAMMED, ABDUL (PRESIDENT)
NPI Enumeration Date	10/22/2021

Other providers sharing the same authorized official: MOHAMMED, ABDUL

Provider	City	State	Total Paid
WEST COAST MEDICAL LABS INC	MANTECA	CA	$3.36M
CLARITY TESTING SERVICES	ARLINGTON HEIGHTS	IL	$353K
FZ MEDICAL GROUP INC	DES PLAINES	IL	$11K

Year	Claims	Total Paid
2022	252	$190.08
2023	1,468	$45K

Code	Description	Claims	Beneficiaries	Total Paid
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	448	390	$33K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	446	385	$10K
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	826	826	$2K