Pruven Health

Pruven Health was paid $503K by Medicaid between May 2019 and Dec 2023, across 86 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 — 40% of everything it billed.

Compared with peers

Next to other Clinical Medical Laboratory providers in Texas

Rank by total paid#87 of 436

Median peer was paid$17K

This provider vs. median29×

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
2019	5,122	$601.46
2020	33,522	$77K
2021	56,796	$191K
2022	67,074	$177K
2023	68,093	$57K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	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	40%	9,090	4,043	$200K
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	8.1%	5,377	2,458	$41K
G2024	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source	7.8%	6,051	2,607	$39K
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	5.0%	6,945	1,947	$25K
80053	Comprehensive metabolic panel	3.9%	17,620	13,745	$20K
87481		3.7%	3,845	1,930	$19K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	3.6%	22,320	16,927	$18K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	2.1%	3,158	2,934	$11K
87529		1.9%	2,914	1,661	$9K
80048	Basic metabolic panel (calcium, ionized)	1.6%	8,658	6,165	$8K
80061	Lipid panel	1.5%	4,577	4,284	$8K
83036	Hemoglobin; glycosylated (A1C)	1.4%	6,128	5,639	$7K

74 more codes

80050	General health panel	1.4%	351	$7K
87653		1.1%	2,087	$6K
87500		1.1%	2,140	$6K
87641		1.0%	2,047	$5K
84443	Thyroid stimulating hormone (TSH)	1.0%	6,238	$5K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	1,843	$5K
87496		<1%	1,798	$5K
87661	Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe	<1%	1,772	$5K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	<1%	1,426	$5K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	1,422	$5K
83880		<1%	966	$5K
87640		<1%	2,118	$5K
87563		<1%	1,512	$4K
84134		<1%	1,245	$3K
80177		<1%	1,471	$3K
85610		<1%	5,932	$3K
80164		<1%	1,916	$3K
82607		<1%	1,620	$3K
83735		<1%	2,122	$2K
81001		<1%	6,648	$2K
87086	Culture, bacterial; quantitative colony count, urine	<1%	2,028	$2K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	152	$2K
86140		<1%	1,225	$2K
87186		<1%	1,328	$1K
87150		<1%	472	$837.22
87077		<1%	663	$704.25
85652		<1%	1,004	$685.04
80165		<1%	251	$649.81
85027		<1%	672	$493.91
84439		<1%	570	$453.13
82728		<1%	295	$443.42
87076		<1%	546	$422.87
82746		<1%	175	$351.94
99001		<1%	220	$339.50
80069		<1%	424	$311.43
87088		<1%	401	$309.91
85379		<1%	109	$284.82
82140		<1%	63	$236.04
84466		<1%	105	$214.82
83540		<1%	257	$212.38
83970		<1%	71	$137.48
84100		<1%	316	$114.78
84153		<1%	57	$113.10
80185		<1%	55	$109.72
81003		<1%	756	$107.38
82247		<1%	109	$72.55
83615		<1%	24	$71.80
80202		<1%	31	$62.14
84132		<1%	108	$61.86
82747		<1%	29	$44.49
87070		<1%	30	$39.56
82310		<1%	62	$37.64
82248		<1%	13	$34.56
82040		<1%	28	$34.08
84460		<1%	28	$34.08
82565		<1%	35	$33.08
83719		<1%	25	$32.58
82374		<1%	35	$31.54
84295		<1%	34	$31.08
82435		<1%	34	$29.70
84450		<1%	27	$28.96
84075		<1%	24	$26.94
84520		<1%	34	$25.54
87205		<1%	30	$19.63
82947		<1%	31	$18.79
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%	37,892	$16.05
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)	<1%	36,154	$13.90
86592		<1%	13	$10.77
84155		<1%	12	$6.16
84550		<1%	32	$3.66
83550		0%	14	$0.00
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%	104	$0.00
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	0%	28	$0.00
82570		0%	15	$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 officialBROOKS, RONNA (DIRECTOR)