Medicaid Provider Spending

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

QUEST DIAGNOSTICS CLINICAL LABORATORIES INC

NPI: 1710028022 · COLLEGEVILLE, PA 19426 · Clinical Medical Laboratory · NPI assigned 02/09/2007

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

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

$12.52M
Total Medicaid Paid
743,149
Total Claims
700,813
Beneficiaries
265
Codes Billed
2020-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOWLES, CHARLES (VICE PRESIDENT)
Parent OrganizationQUEST DIAGNOSTICS INCORPORATED
NPI Enumeration Date02/09/2007

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
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
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC HORSHAM PA $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 32,940 $846K
2021 188,762 $3.58M
2022 177,664 $2.97M
2023 189,365 $2.84M
2024 154,418 $2.28M

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 23,783 21,403 $1.88M
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 19,261 11,801 $1.39M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 21,294 13,165 $835K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 779 779 $430K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 1,577 1,550 $416K
80050 General health panel 17,684 17,652 $393K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 15,102 14,817 $336K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 15,044 14,762 $335K
80061 Lipid panel 35,804 35,634 $300K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 14,335 14,294 $267K
81513 2,665 2,630 $241K
80053 Comprehensive metabolic panel 35,118 34,230 $232K
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 12,875 11,549 $226K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 7,531 7,509 $220K
87481 8,923 4,044 $202K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 4,281 4,279 $199K
86480 4,894 4,874 $192K
83036 Hemoglobin; glycosylated (A1C) 29,207 29,107 $177K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 28,937 28,259 $141K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 6,322 6,165 $138K
87799 4,713 1,601 $128K
84443 Thyroid stimulating hormone (TSH) 11,617 11,537 $122K
86003 2,094 2,030 $111K
86235 2,439 1,852 $88K
82728 10,202 10,124 $88K
82607 8,927 8,905 $84K
84403 5,174 5,143 $84K
84439 13,707 13,607 $78K
87086 Culture, bacterial; quantitative colony count, urine 13,903 13,350 $71K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 4,205 4,205 $71K
82746 7,346 7,328 $68K
83655 8,583 8,541 $66K
81329 764 764 $66K
84402 3,926 3,910 $63K
86769 1,328 1,324 $61K
86803 6,688 6,662 $60K
87088 10,132 9,785 $53K
86617 2,879 2,640 $52K
83550 10,128 10,050 $52K
87070 9,454 9,256 $51K
86038 6,653 6,605 $51K
82784 5,405 5,362 $51K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 547 544 $49K
84153 4,213 4,186 $48K
86618 4,307 4,286 $46K
80074 1,462 1,456 $44K
83540 10,768 10,684 $44K
87512 1,577 1,560 $41K
84481 3,565 3,550 $38K
86666 1,809 1,796 $37K
82627 2,615 2,603 $37K
83020 1,908 1,903 $37K
82670 1,763 1,711 $31K
86850 5,000 4,943 $31K
83002 2,623 2,575 $31K
86665 1,430 1,361 $31K
87340 4,682 4,664 $30K
84146 2,435 2,325 $30K
87631 334 331 $30K
83520 2,639 2,205 $30K
83013 692 691 $29K
86376 3,151 3,143 $29K
81001 15,675 15,263 $29K
86147 643 632 $29K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,146 584 $29K
87522 Neg quan hep c or qual rna 1,045 1,031 $28K
83970 1,077 1,063 $28K
86255 1,413 755 $27K
83001 2,271 2,260 $27K
87081 6,155 6,043 $26K
86334 1,022 1,009 $26K
86800 2,510 2,503 $25K
86364 2,940 2,925 $25K
86317 3,562 1,373 $23K
87209 1,651 1,571 $23K
86762 2,519 2,506 $23K
82105 2,165 2,160 $23K
87186 3,922 3,839 $22K
82570 6,618 6,513 $21K
84445 661 659 $21K
86753 2,421 1,463 $21K
84425 1,562 1,558 $21K
86765 2,529 2,523 $21K
84702 2,186 1,982 $21K
85027 4,896 4,842 $20K
87077 3,808 3,721 $20K
86735 2,384 2,380 $20K
86592 7,319 7,297 $20K
84480 3,078 3,059 $19K
86787 2,236 2,234 $19K
83498 1,104 1,102 $19K
88305 Level IV - Surgical pathology, gross and microscopic examination 279 279 $19K
84165 1,075 1,069 $19K
87536 356 354 $19K
83525 2,358 2,338 $18K
86160 1,225 1,210 $18K
86140 5,387 5,330 $18K
81511 182 181 $17K
84144 1,280 1,200 $17K
82533 1,619 1,581 $17K
83516 2,282 1,521 $17K
88142 1,318 1,315 $17K
87660 1,308 1,294 $16K
87480 1,308 1,294 $16K
87510 1,308 1,294 $16K
86146 354 343 $16K
86008 201 189 $16K
86225 1,818 1,809 $16K
83735 3,726 3,431 $16K
82043 4,211 4,192 $15K
82785 1,422 1,417 $15K
80048 Basic metabolic panel (calcium, ionized) 2,705 2,644 $14K
86360 476 473 $14K
82652 575 572 $14K
86780 1,632 1,625 $14K
84436 4,878 4,853 $14K
86704 1,761 1,757 $13K
86200 1,547 1,543 $13K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 779 761 $12K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 146 146 $12K
87177 1,654 1,573 $11K
86039 1,598 1,580 $11K
84305 799 799 $11K
84270 776 767 $11K
87338 1,145 1,141 $10K
86706 1,532 1,530 $10K
80076 2,013 1,992 $10K
83993 820 816 $10K
86664 1,022 1,019 $10K
85730 2,723 2,685 $10K
87147 2,519 2,494 $10K
80081 196 196 $9K
84446 1,020 1,018 $9K
86696 503 503 $9K
86708 1,146 1,142 $9K
84550 3,113 3,023 $9K
82248 2,778 2,732 $9K
84479 2,470 2,464 $8K
84154 740 736 $8K
84590 1,150 1,149 $8K
86901 4,201 4,168 $8K
86900 4,192 4,159 $8K
87329 1,055 1,024 $8K
86431 2,187 2,176 $8K
86258 536 534 $8K
84681 575 572 $8K
87563 328 323 $7K
83690 1,670 1,643 $7K
86747 375 374 $7K
85610 2,552 2,435 $7K
82977 1,516 1,449 $7K
84466 756 749 $6K
82180 960 959 $6K
83615 1,575 1,475 $6K
84156 2,552 2,466 $6K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 130 129 $6K
86141 690 687 $6K
86021 583 575 $5K
82550 1,332 1,318 $5K
84100 1,796 1,613 $5K
83090 471 468 $5K
86695 413 413 $5K
82274 516 509 $5K
87449 661 594 $5K
87255 222 217 $5K
82024 175 171 $4K
86381 246 245 $4K
86015 441 438 $4K
83921 290 288 $4K
83521 183 181 $4K
86036 490 487 $4K
86060 788 787 $4K
87469 320 317 $3K
85041 1,655 1,648 $3K
85652 3,593 3,570 $3K
87581 138 134 $3K
87486 138 134 $3K
87045 507 496 $3K
83010 365 357 $3K
87625 107 107 $3K
87427 363 352 $3K
85045 1,048 1,018 $3K
85613 417 416 $3K
85014 1,716 1,710 $3K
81243 117 117 $3K
85018 1,718 1,712 $3K
87150 109 109 $2K
81003 1,767 1,758 $2K
85246 163 163 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 24 24 $2K
84703 463 462 $2K
85240 193 191 $2K
83021 192 192 $2K
82465 785 785 $2K
86812 126 124 $2K
85245 135 135 $2K
82157 102 102 $2K
84155 829 826 $2K
84207 93 93 $2K
82390 242 241 $2K
84460 480 477 $2K
86148 71 55 $2K
82947 689 688 $2K
82565 471 469 $2K
82542 97 85 $1K
82378 119 118 $1K
85247 93 93 $1K
86359 56 56 $1K
84630 184 183 $1K
86231 155 154 $1K
87205 474 464 $1K
82310 445 439 $1K
82172 94 93 $1K
85660 348 348 $1K
84450 364 361 $1K
81241 24 24 $1K
82166 44 44 $1K
81596 24 24 $1K
87484 168 166 $1K
80177 124 122 $1K
86671 179 93 $1K
87468 160 159 $1K
82668 85 83 $1K
87075 180 175 $984.32
84520 375 374 $930.59
82950 306 306 $925.94
86645 82 82 $874.80
80178 211 201 $857.28
80164 90 88 $770.94
82040 219 217 $676.60
86300 42 38 $642.39
82985 58 58 $627.00
86709 84 83 $591.69
86757 14 14 $572.93
82653 38 38 $555.38
84432 53 51 $545.32
86341 30 25 $519.75
83721 437 437 $504.38
83695 53 53 $484.12
83835 42 39 $453.24
82164 48 46 $441.60
82150 1,112 1,089 $428.09
82103 47 46 $401.33
86644 42 42 $380.94
87046 61 61 $374.83
87324 52 52 $347.30
80175 36 36 $306.84
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 26 25 $268.50
87650 17 17 $214.71
87207 13 13 $190.71
84075 57 57 $189.01
86304 14 14 $183.54
85379 26 26 $166.66
81015 84 84 $162.36
82139 14 13 $148.82
85306 12 12 $115.80
82140 12 12 $110.16
82951 13 13 $108.81
82525 12 12 $93.84
87478 106 105 $67.73
82247 19 19 $61.94
82952 13 13 $33.15
36415 Collection of venous blood by venipuncture 939 909 $9.48
99001 28 28 $0.00
88141 248 248 $0.00