Medicaid Provider Spending

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

PRIVIA MEDICAL GROUP WEST TEXAS, PLLC

NPI: 1760482665 · ABILENE, TX 79606 · Pathology Specialist/Technologist · NPI assigned 07/21/2005

$3K
Total Medicaid Paid
22,442
Total Claims
18,540
Beneficiaries
21
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialKOUBA, ANDREW (CEO/AUTHORIZED OFFICIAL)
NPI Enumeration Date07/21/2005

Related Entities

Other providers sharing the same authorized official: KOUBA, ANDREW

ProviderCityStateTotal Paid
PRIVIA MEDICAL GROUP WEST TEXAS, PLLC ABILENE TX $1.74M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,345 $0.00
2019 5,808 $53.86
2020 4,922 $813.65
2021 6,367 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2,687 2,286 $752.71
80053 Comprehensive metabolic panel 1,450 1,342 $562.43
84443 Thyroid stimulating hormone (TSH) 1,072 1,018 $561.44
80061 Lipid panel 863 818 $338.13
80048 Basic metabolic panel (calcium, ionized) 1,639 1,390 $213.98
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 260 237 $206.35
83036 Hemoglobin; glycosylated (A1C) 890 850 $177.07
87086 Culture, bacterial; quantitative colony count, urine 876 772 $170.59
87186 432 371 $109.67
83721 843 800 $70.72
81001 1,017 922 $49.85
87088 281 250 $32.98
83735 19 16 $16.89
84134 43 39 $16.32
80076 91 85 $13.72
84439 15 14 $7.58
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 4,711 3,430 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 22 22 $0.00
36415 Collection of venous blood by venipuncture 489 436 $0.00
G0471 Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) 4,725 3,428 $0.00
82607 17 14 $0.00