Medicaid Provider Spending

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

QUEST DIAGNOSTICS CLINICAL LABORATORIES INC

NPI: 1699434241 · ANDERSON, SC 29621 · Clinical Medical Laboratory · NPI assigned 12/10/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BOWLES, CHARLES controls 20+ related entities in our dataset. Read more

$923K
Total Medicaid Paid
104,418
Total Claims
86,745
Beneficiaries
113
Codes Billed
2021-12
First Month
2023-12
Last Month

Provider Details

Authorized OfficialBOWLES, CHARLES (VICE PRESIDENT)
Parent OrganizationQUEST DIAGNOSTICS INCORPORATED
NPI Enumeration Date12/10/2021

Related Entities

Other providers sharing the same authorized official: BOWLES, CHARLES

ProviderCityStateTotal Paid
QUEST DIAGNOSTICS LLC MARLBOROUGH MA $209.74M
QUEST DIAGNOSTICS OF PENNSYLVANIA, INC. PITTSBURGH PA $132.39M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC SEATTLE WA $109.23M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC PORTLAND OR $21.85M
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. BUFFALO NY $20.20M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC COLLEGEVILLE PA $12.52M
SOLSTAS LAB PARTNERS GROUP LLC GREENSBORO NC $11.62M
QUEST DIAGNOSTICS INCORPORATED MI FLINT MI $8.64M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC TUCKER GA $3.66M
UNILAB CORPORATION WEST HILLS CA $3.12M
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. TWINSBURG OH $2.56M
QUEST DIAGNOSTICS INCORPORATED MD FALLS CHURCH VA $936K
QUEST DIAGNOSTICS LLC WALLINGFORD CT $706K
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. NORTH SYRACUSE NY $492K
SOLSTAS LAB PARTNERS, LLC KNOXVILLE TN $455K
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC NORRISTOWN PA $319K
UNILAB CORPORATION SAN JOSE CA $253K
UNILAB CORPORATION ORANGE CA $122K
QUEST DIAGNOSTICS LLC STRATFORD CT $103K
UNILAB CORPORATION BAKERSFIELD CA $53K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 885 $8K
2022 61,100 $525K
2023 42,433 $389K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 3,911 2,082 $169K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 535 446 $84K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 4,919 4,241 $55K
80053 Comprehensive metabolic panel 10,382 8,797 $44K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 647 451 $41K
84443 Thyroid stimulating hormone (TSH) 6,371 5,497 $39K
80061 Lipid panel 6,474 5,664 $38K
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 799 703 $37K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,302 1,967 $35K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,165 1,885 $32K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,180 8,690 $31K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,891 1,590 $25K
83036 Hemoglobin; glycosylated (A1C) 4,886 4,272 $20K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,470 1,264 $15K
86480 335 302 $14K
87581 749 648 $13K
87486 749 648 $13K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 697 595 $10K
80074 632 522 $10K
82607 2,038 1,688 $10K
83970 357 310 $8K
87086 Culture, bacterial; quantitative colony count, urine 2,351 2,008 $8K
86235 188 130 $8K
82746 1,075 912 $7K
87088 1,801 1,560 $6K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 235 190 $6K
84403 691 603 $6K
82728 972 863 $6K
84439 1,682 1,457 $5K
84481 804 707 $5K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 255 226 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 158 136 $4K
82670 419 370 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 260 157 $4K
0223U 35 33 $4K
84402 489 431 $4K
80048 Basic metabolic panel (calcium, ionized) 1,096 1,012 $4K
87186 1,029 871 $4K
83735 1,335 1,172 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 70 67 $4K
83550 1,024 890 $4K
87077 1,011 862 $4K
86376 628 538 $3K
83540 1,299 1,139 $3K
84153 522 452 $3K
86140 1,418 1,095 $3K
86038 629 518 $3K
87070 701 604 $3K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 244 233 $3K
83880 183 155 $2K
86003 35 28 $2K
86696 345 278 $2K
82570 1,096 902 $2K
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 1,520 386 $2K
85652 1,751 1,398 $2K
86592 1,006 857 $2K
86225 333 271 $2K
83001 341 292 $2K
80076 529 505 $2K
85027 614 494 $2K
84144 293 257 $2K
86803 233 206 $2K
36415 Collection of venous blood by venipuncture 3,106 2,619 $2K
84480 354 294 $2K
86695 321 255 $1K
81001 1,245 1,013 $1K
84702 226 190 $1K
82043 600 483 $1K
83002 255 216 $1K
84146 181 167 $1K
84550 726 602 $1K
86769 14 12 $1K
82627 161 141 $969.32
86431 430 354 $935.70
86780 228 186 $870.57
86200 186 147 $752.21
84156 453 382 $664.69
86141 138 118 $630.87
87634 14 13 $513.12
83525 265 197 $400.06
84305 109 92 $387.42
82785 61 51 $360.88
83704 140 74 $324.99
86039 78 66 $322.90
84681 96 64 $252.65
80050 General health panel 28 27 $231.00
83516 56 43 $226.15
82172 99 79 $216.65
83695 103 82 $212.95
84466 23 20 $195.17
85610 137 102 $188.61
84100 110 96 $186.04
82550 59 49 $175.67
84270 69 56 $165.70
84460 97 85 $130.86
82248 165 135 $128.41
83655 16 16 $107.01
86800 54 38 $99.89
82533 36 27 $97.19
82040 76 66 $86.34
81003 335 237 $82.73
82565 64 56 $81.32
83690 38 27 $77.54
84484 14 12 $75.49
80164 15 13 $71.22
84450 64 55 $71.08
80069 26 25 $62.04
84155 61 51 $60.01
84436 29 25 $51.81
85018 28 24 $20.52
82310 13 12 $16.40
84075 14 12 $12.56
82247 13 12 $12.03