Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Med Health Services Management, LP

Med Health Services Management, LP was paid $1.70M by Medicaid between Jan 2018 and May 2023, across 70 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 — 80% of everything it billed.

33Billing provider infoMED HEALTH SERVICES MANAGEMENT, LP
MONROEVILLE, PA 15146
33aNPI1760521611assigned 02/06/2007
28Total paid$1.70M
24GClaims111,321
24DCodes billed70
24AFirst – last monthJan 2018 – May 2023
Compared with peers

Next to other Clinical Medical Laboratory providers in Pennsylvania

Rank by total paid#18 of 95
Median peer was paid$153K
This provider vs. median11×

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.

Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201810,729$174K
201912,646$82K
202021,928$635K
202146,413$623K
202218,189$178K
20231,416$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 80% 43,358 16,572 $1.35M
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 3.0% 10,259 4,163 $50K
80074 2.2% 1,383 1,179 $38K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1.3% 10,252 5,644 $22K
80053 Comprehensive metabolic panel 1.3% 7,018 4,385 $21K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.1% 1,719 1,194 $19K
81408 <1% 211 101 $16K
81406 <1% 214 103 $12K
81404 <1% 211 101 $12K
80061 Lipid panel <1% 2,705 1,838 $11K
80050 General health panel <1% 661 446 $10K
84443 Thyroid stimulating hormone (TSH) <1% 2,249 1,471 $8K
58 more codes
82607 <1% 980 $8K
80048 Basic metabolic panel (calcium, ionized) <1% 4,787 $8K
82746 <1% 665 $6K
81405 <1% 109 $6K
82728 <1% 837 $6K
81317 <1% 107 $6K
83036 Hemoglobin; glycosylated (A1C) <1% 2,463 $6K
81292 <1% 93 $6K
81298 <1% 94 $6K
81321 <1% 93 $6K
81295 <1% 94 $5K
36415 Collection of venous blood by venipuncture <1% 7,475 $5K
83550 <1% 885 $5K
81211 <1% 46 $5K
83735 <1% 1,505 $5K
83540 <1% 912 $4K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 49 $4K
82977 <1% 916 $4K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 46 $3K
85652 <1% 892 $2K
84550 <1% 293 $2K
86431 <1% 231 $2K
81001 <1% 1,390 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 43 $2K
81201 <1% 92 $1K
84480 <1% 232 $1K
86225 <1% 156 $1K
86038 <1% 157 $1K
86618 <1% 96 $1K
84436 <1% 303 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 50 $494.66
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 50 $465.60
85045 <1% 257 $436.69
87086 Culture, bacterial; quantitative colony count, urine <1% 703 $403.25
87486 <1% 50 $377.22
86709 <1% 103 $369.38
86617 <1% 26 $315.39
87640 <1% 36 $280.41
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 16 $258.68
86708 <1% 34 $236.85
83721 <1% 253 $227.68
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 67 $206.44
82550 <1% 75 $200.73
84134 <1% 81 $101.34
80164 <1% 55 $96.31
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled <1% 2,135 $90.55
86140 <1% 303 $82.06
85610 <1% 110 $49.79
87581 <1% 15 $45.03
87088 <1% 164 $39.75
87186 <1% 164 $36.51
85027 <1% 45 $22.80
80076 <1% 96 $15.14
84439 <1% 36 $4.06
84100 <1% 22 $0.95
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 0% 26 $0.00
81162 0% 52 $0.00
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 0% 16 $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.

From NPPES

Who's on the registration

Authorized officialKONDEL, JANICE (DIRECTOR)