Medicaid Provider Spending

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

COMMUNITY HEALTH CLINICAL LABORATORY LLC

NPI: 1679109995 · NIPOMO, CA 93444 · Clinical Medical Laboratory · NPI assigned 03/18/2020

$11.33M
Total Medicaid Paid
882,875
Total Claims
860,869
Beneficiaries
78
Codes Billed
2020-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFEOKTISTOV, ALEXANDRE (PRESIDENT)
NPI Enumeration Date03/18/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 64,321 $814K
2021 178,215 $2.19M
2022 186,911 $2.41M
2023 209,630 $2.74M
2024 243,798 $3.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 40,559 38,505 $1.11M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 40,643 38,589 $1.11M
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 41,915 41,277 $856K
84443 Thyroid stimulating hormone (TSH) 66,916 66,075 $794K
80061 Lipid panel 77,244 76,583 $707K
80053 Comprehensive metabolic panel 88,940 87,596 $643K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 31,053 29,895 $585K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 19,612 18,883 $544K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 11,167 10,137 $509K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 86,604 83,656 $477K
83036 Hemoglobin; glycosylated (A1C) 65,390 64,165 $449K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 13,197 12,942 $358K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 8,837 8,661 $328K
86803 23,550 22,475 $265K
87481 8,893 8,700 $238K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 8,708 8,540 $233K
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 2,947 2,792 $169K
84439 23,380 23,099 $146K
87340 17,522 16,555 $141K
82607 12,796 12,682 $125K
86762 8,890 8,029 $101K
84403 4,139 4,100 $79K
82746 8,095 8,026 $78K
82728 7,008 6,922 $68K
84153 5,458 5,404 $66K
86708 6,493 6,416 $61K
86780 5,683 5,564 $60K
82043 14,810 14,680 $50K
86709 5,522 5,463 $47K
80074 1,349 1,339 $47K
83550 7,490 7,400 $46K
87625 1,391 1,378 $45K
83001 3,040 3,026 $44K
82570 14,123 13,965 $42K
83540 8,910 8,799 $40K
86706 4,787 4,724 $39K
86704 4,033 4,001 $38K
80320 3,120 3,013 $37K
85027 7,660 7,613 $36K
84480 3,772 3,726 $34K
83970 1,538 1,501 $34K
82670 1,557 1,546 $34K
83002 2,257 2,243 $33K
84481 2,963 2,925 $32K
84146 2,138 2,122 $32K
86705 3,328 3,302 $30K
84270 1,590 1,574 $26K
84702 1,843 1,250 $22K
86140 6,224 6,155 $22K
82947 6,945 6,606 $21K
83735 4,349 4,247 $18K
84436 4,010 3,949 $18K
80048 Basic metabolic panel (calcium, ionized) 3,506 3,430 $17K
84144 931 920 $15K
80069 3,110 3,057 $14K
80076 2,285 2,266 $13K
82627 706 704 $12K
83690 2,411 2,385 $12K
84154 1,097 1,087 $11K
82951 853 818 $9K
86376 788 782 $8K
84460 1,720 1,715 $6K
84550 2,066 2,046 $6K
84450 1,480 1,477 $5K
87522 Neg quan hep c or qual rna 176 171 $5K
85046 1,460 1,423 $5K
82952 841 806 $5K
86769 240 240 $5K
82150 927 911 $4K
84100 1,036 995 $3K
85018 983 980 $2K
85014 892 889 $2K
83880 58 58 $2K
82248 447 441 $2K
82310 337 318 $1K
81025 55 55 $398.50
84156 69 67 $105.84
82247 13 13 $39.95