Medicaid Provider Spending

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

MAINSTREAM DIAGNOSTIC LABORATORY LLC

NPI: 1689139495 · NEW PORT RICHEY, FL 34652 · Clinical Medical Laboratory · NPI assigned 02/06/2019

$2K
Total Medicaid Paid
935
Total Claims
834
Beneficiaries
8
Codes Billed
2020-07
First Month
2023-05
Last Month

Provider Details

Authorized OfficialVILLACIS, DAINELLYS (PRESIDENT)
NPI Enumeration Date02/06/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 27 $32.30
2021 12 $123.32
2022 323 $409.63
2023 573 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 605 602 $2K
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 32 24 $236.82
80053 Comprehensive metabolic panel 69 47 $99.62
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 61 44 $60.61
83036 Hemoglobin; glycosylated (A1C) 27 24 $59.32
36415 Collection of venous blood by venipuncture 111 68 $12.88
80061 Lipid panel 14 12 $0.00
85027 16 13 $0.00