Platinum Pathology, PLLC
Platinum Pathology, PLLC was paid $216K by Medicaid between May 2020 and Feb 2024, across 10 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 — 92% of everything it billed.
GLEN ALLEN, VA 23060
Next to other Clinical Medical Laboratory providers in Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 3,625 | $144K | |
| 2021 | 3,038 | $68K | |
| 2022 | 397 | $1K | |
| 2023 | 63 | $293.53 | |
| 2024incomplete | 12 | $3K |
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 | 92% | 5,157 | 2,663 | $198K |
| 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 | 6.3% | 1,506 | 842 | $14K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.0% | 214 | 191 | $4K |
| 36415 | Collection of venous blood by venipuncture | 0% | 53 | 41 | $0.00 |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 31 | 29 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 45 | 36 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 16 | 16 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 47 | 38 | $0.00 |
| 88342 | 0% | 36 | 29 | $0.00 | |
| 80061 | Lipid panel | 0% | 30 | 28 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Theranostix INC | Beltsville, MD | $5.27M |
| P4 Clinical LLC | Pine Brook, NJ | $964K |
| Long Island Pathology INC | East Setauket, NY | $306K |
| Excel Medical Lab. INC | Edison, NJ | $150K |
| Theranostix INC | Indianapolis, IN | $8K |
| Metamark Laboratories, INC. | Augusta, GA | $569.11 |
| P4 Diagnostix LLC | Beltsville, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.