MID AMERICA CLINICAL LABORATORIES, LLC
NPI: 1720047798
· INDIANAPOLIS, IN 46227
· Clinical Medical Laboratory
· NPI assigned 03/20/2006
$496.39
Total Medicaid Paid
Provider Details
| Authorized Official | KMETZ, THOMAS (CFO) |
| NPI Enumeration Date | 03/20/2006 |
Related Entities
Other providers sharing the same authorized official: KMETZ, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$9.00 |
| 2019 |
146 |
$403.39 |
| 2020 |
43 |
$84.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
Collection of venous blood by venipuncture |
99 |
81 |
$177.00 |
| 80053 |
Comprehensive metabolic panel |
16 |
12 |
$93.92 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
52 |
42 |
$83.18 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21 |
17 |
$77.67 |
| 85027 |
|
14 |
12 |
$64.62 |