Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN JUAN CAPISTRANO › QUEST DIAGNOSTICS NICHOLS INSTITUTE

QUEST DIAGNOSTICS NICHOLS INSTITUTE

NPI: 1780620526 · SAN JUAN CAPISTRANO, CA 92675 · Clinical Medical Laboratory · NPI assigned 06/21/2006

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

Authorized official TIMMERMAN, LEAH controls 20+ related entities in our dataset. Read more

$39.93M
Total Medicaid Paid
1,192,950
Total Claims
1,059,326
Beneficiaries
406
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTIMMERMAN, LEAH (SVP, HEALTH PLANS)
Parent OrganizationQUEST DIAGNOSTICS INCORPORATED
NPI Enumeration Date06/21/2006

Related Entities

Other providers sharing the same authorized official: TIMMERMAN, LEAH

ProviderCityStateTotal Paid
UNILAB CORPORATION WEST HILLS CA $668.50M
QUEST DIAGNOSTICS INCORPORATED CLIFTON NJ $637.74M
QUEST DIAGNOSTICS LLC IL WOOD DALE IL $429.84M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC IRVING TX $276.76M
LABONE LLC LENEXA KS $212.28M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC TUCKER GA $211.13M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC MIRAMAR FL $197.58M
LABONE OF OHIO INC CINCINNATI OH $167.17M
UNILAB CORPORATION SACRAMENTO CA $141.24M
QUEST DIAGNOSTICS INCORPORATED MD BALTIMORE MD $121.81M
QUEST DIAGNOSTICS INCORPORATED LAS VEGAS NV $59.32M
QUEST DIAGNOSTICS LLC IL SCHAUMBURG IL $50.71M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC TAMPA FL $49.99M
QUEST DIAGNOSTICS NICHOLS INSTITUTE, INC. CHANTILLY VA $46.91M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC NORRISTOWN PA $22.72M
SPECIALTY LABORATORIES INC WEST HILLS CA $16.76M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC DENVER CO $14.27M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC HOUSTON TX $8.76M
MED FUSION, LLC LEWISVILLE TX $4.17M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC MARYLAND HEIGHTS MO $2.98M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 140,145 $2.03M
2019 116,056 $1.95M
2020 123,138 $2.91M
2021 134,143 $3.70M
2022 236,970 $10.34M
2023 224,013 $8.95M
2024 218,485 $10.05M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 34,229 31,676 $9.44M
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 39,795 38,124 $6.45M
81443 3,358 3,265 $2.19M
81329 25,921 25,015 $1.82M
87799 17,067 12,304 $975K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 18,510 17,197 $971K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 24,013 21,937 $835K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 23,920 21,875 $829K
87902 4,251 3,948 $780K
83520 48,152 34,324 $501K
87901 3,305 3,074 $495K
86235 9,395 7,610 $471K
87536 7,878 7,468 $462K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 14,728 13,810 $382K
87512 10,674 10,228 $363K
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 4,832 4,135 $327K
83993 24,124 23,332 $313K
88185 3,491 3,118 $289K
86635 9,749 9,643 $287K
87900 3,319 3,078 $277K
82670 14,463 13,309 $271K
81596 16,205 15,311 $270K
82672 16,984 16,121 $269K
87522 Neg quan hep c or qual rna 7,653 7,275 $248K
84305 16,221 15,682 $229K
86147 11,135 5,830 $228K
82677 13,573 12,825 $213K
86146 7,728 4,445 $206K
82105 15,149 14,352 $200K
86336 13,711 12,968 $196K
84702 19,798 18,542 $185K
84445 4,851 4,633 $180K
87906 1,976 1,841 $166K
82542 12,793 11,448 $163K
83516 20,998 11,627 $160K
84403 6,680 6,543 $157K
81243 15,215 14,554 $155K
82172 14,034 13,237 $155K
86696 9,667 9,317 $154K
83704 7,237 6,778 $145K
83498 7,756 7,412 $141K
86003 8,747 6,406 $132K
83698 6,220 5,805 $129K
86255 25,809 10,324 $124K
81513 2,460 2,270 $124K
84681 10,392 9,578 $123K
81229 411 392 $123K
86341 11,374 7,241 $120K
87529 4,082 2,254 $119K
82671 4,447 4,301 $119K
82530 8,885 7,953 $116K
82626 6,824 6,571 $114K
81512 3,505 2,943 $113K
88262 1,192 1,136 $112K
82157 5,797 5,581 $109K
81206 815 775 $106K
86360 2,889 2,834 $101K
82088 3,325 3,128 $98K
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 1,862 1,833 $96K
86787 8,699 8,355 $94K
86160 6,610 5,848 $93K
83001 8,176 7,779 $93K
83002 8,697 8,312 $92K
82107 2,306 2,237 $91K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,894 1,929 $87K
83519 10,248 6,213 $85K
84402 4,461 4,409 $84K
86682 10,008 7,403 $82K
82652 2,444 2,438 $80K
86695 8,560 8,281 $80K
84482 7,201 6,926 $75K
83525 9,936 9,307 $74K
82397 7,616 7,141 $74K
88230 1,148 1,098 $74K
82024 2,931 2,772 $74K
86337 5,256 4,871 $72K
82784 10,872 10,286 $72K
86038 9,681 8,935 $71K
88184 3,271 3,106 $70K
83695 8,073 7,619 $68K
86141 6,835 6,422 $68K
87563 3,522 3,110 $68K
81240 2,999 2,893 $66K
83883 7,735 5,761 $64K
80061 Lipid panel 10,140 9,149 $63K
84244 3,513 3,351 $63K
86361 2,957 2,896 $59K
86376 6,449 5,724 $57K
83921 5,096 4,915 $57K
83013 947 879 $56K
87497 1,573 1,249 $55K
84140 4,365 4,134 $53K
36415 Collection of venous blood by venipuncture 36,002 33,674 $53K
86200 7,383 6,665 $52K
87517 1,635 1,572 $52K
81270 836 782 $51K
88189 2,938 2,795 $50K
83880 2,247 2,122 $50K
85245 3,395 3,276 $49K
85246 3,505 3,367 $48K
81241 4,756 4,569 $47K
82679 2,782 2,621 $46K
87535 1,435 1,328 $43K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 2,078 1,953 $42K
86364 5,327 4,928 $40K
85240 3,658 3,497 $40K
84144 3,417 3,123 $40K
87662 1,255 1,162 $40K
86753 5,987 5,353 $39K
86780 3,306 3,199 $38K
84182 680 580 $38K
82681 2,070 2,001 $36K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,890 1,838 $36K
82166 2,117 2,036 $36K
83655 3,869 3,648 $36K
85306 2,501 2,381 $35K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 786 680 $35K
81279 244 228 $34K
83036 Hemoglobin; glycosylated (A1C) 5,001 4,580 $34K
82104 3,412 3,323 $32K
81257 3,068 2,965 $32K
83010 3,776 3,635 $31K
85247 1,954 1,871 $31K
82533 2,959 2,680 $30K
82384 1,770 1,655 $29K
86359 1,340 1,308 $29K
81401 1,587 1,412 $27K
86316 1,904 1,793 $27K
82642 1,999 1,911 $26K
86431 7,374 7,140 $26K
87631 372 352 $26K
86317 2,819 2,377 $26K
83090 3,076 2,965 $25K
85303 2,057 1,972 $24K
86039 3,484 3,167 $24K
80354 989 881 $24K
86812 1,130 1,081 $24K
80348 117 95 $24K
81162 72 50 $23K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 809 721 $22K
82653 3,762 3,577 $21K
86381 1,549 1,436 $21K
83527 2,168 2,119 $20K
86628 1,637 1,540 $20K
80050 General health panel 885 829 $20K
82139 1,974 1,800 $20K
82379 1,931 1,845 $19K
86148 1,906 950 $19K
86803 1,659 1,550 $18K
85730 4,538 4,342 $18K
84146 943 854 $18K
81256 1,821 1,727 $17K
80299 1,537 1,472 $17K
86794 1,653 1,618 $17K
84443 Thyroid stimulating hormone (TSH) 1,682 1,578 $17K
84432 1,209 1,170 $16K
84165 2,458 2,304 $16K
83835 1,348 1,214 $16K
85300 1,794 1,724 $16K
86021 1,676 1,478 $15K
81219 164 149 $15K
86382 939 893 $15K
84425 776 769 $15K
81511 1,266 1,127 $15K
80053 Comprehensive metabolic panel 2,230 2,117 $14K
85613 2,166 2,084 $14K
86258 1,008 938 $14K
84439 3,068 2,989 $14K
87209 1,075 938 $14K
81207 128 121 $14K
83021 1,040 990 $13K
87634 417 404 $13K
84143 909 836 $13K
84153 1,438 1,390 $12K
80349 615 539 $12K
83631 1,087 1,047 $12K
82657 939 904 $12K
87481 432 288 $12K
82787 801 695 $12K
81339 148 134 $11K
82103 1,393 1,318 $11K
84080 996 961 $11K
84260 645 614 $11K
84270 519 472 $11K
86618 695 628 $11K
82977 3,832 3,672 $10K
86665 739 659 $10K
82985 1,191 1,149 $10K
82570 3,614 3,398 $10K
86162 857 824 $10K
86015 1,528 1,441 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,792 1,707 $9K
86671 813 380 $9K
83970 316 306 $9K
87340 1,012 953 $9K
82785 799 783 $8K
86762 684 645 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 280 271 $8K
87625 260 253 $8K
80074 186 184 $8K
82247 2,740 2,670 $8K
81364 119 107 $7K
81291 2,358 2,195 $7K
86225 714 685 $7K
87177 1,086 948 $7K
84460 2,737 2,669 $7K
86790 1,035 586 $7K
83918 566 523 $7K
86343 763 748 $7K
86769 170 170 $6K
82656 757 746 $6K
87467 1,208 580 $6K
80145 326 316 $6K
86596 429 355 $6K
86800 636 613 $6K
86666 795 371 $6K
86334 446 401 $6K
81332 521 499 $6K
84145 327 298 $6K
85301 627 610 $5K
87109 558 526 $5K
88142 306 306 $5K
86592 1,665 1,534 $5K
84484 713 645 $5K
84238 165 161 $5K
86692 442 414 $5K
86757 464 257 $5K
82728 767 714 $5K
86036 680 626 $5K
86480 95 95 $4K
86774 400 381 $4K
83497 554 527 $4K
84206 284 264 $4K
83020 477 405 $4K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 173 173 $4K
82010 802 774 $4K
84436 1,662 1,556 $4K
82017 383 363 $4K
82610 311 287 $3K
85027 689 617 $3K
83006 272 271 $3K
86738 166 151 $3K
85385 687 663 $3K
86008 241 230 $3K
86140 766 725 $3K
86664 446 389 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 42 40 $3K
86231 530 485 $3K
84075 743 711 $3K
82705 801 757 $3K
86052 358 325 $3K
86041 359 308 $3K
84155 1,237 1,167 $3K
86708 401 379 $2K
80230 128 118 $2K
83550 552 520 $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 594 588 $2K
84478 2,397 2,368 $2K
87046 368 348 $2K
82550 440 422 $2K
82465 2,409 2,381 $2K
84120 243 235 $2K
80177 285 279 $2K
86340 195 191 $2K
87230 173 165 $2K
ATP03 300 300 $2K
83718 2,547 2,482 $2K
87912 12 12 $2K
87086 Culture, bacterial; quantitative colony count, urine 275 269 $2K
80361 1,128 1,015 $2K
80081 39 39 $2K
83540 567 535 $2K
86648 164 155 $2K
87081 305 295 $2K
86735 100 99 $2K
82595 370 356 $2K
85652 850 809 $2K
82607 483 452 $2K
86704 343 325 $2K
83014 244 236 $2K
84630 205 197 $2K
82552 161 157 $2K
86606 122 109 $2K
86042 188 173 $2K
84481 259 240 $2K
82955 265 250 $1K
85041 611 608 $1K
86615 105 100 $1K
87338 176 169 $1K
86355 53 50 $1K
83625 131 126 $1K
86043 221 196 $1K
82365 144 141 $1K
87449 171 154 $1K
84588 60 57 $1K
86215 147 145 $1K
84163 131 130 $1K
85014 637 634 $1K
86765 70 69 $1K
83615 258 238 $1K
85018 612 609 $1K
86362 116 109 $1K
80365 1,080 971 $1K
86706 256 243 $1K
86850 125 114 $1K
85598 63 63 $957.88
82164 212 205 $952.30
84433 550 174 $873.02
80321 273 233 $850.17
82941 67 62 $846.01
87581 39 38 $836.95
87088 114 110 $826.79
85597 89 84 $795.66
82310 193 188 $779.31
81479 Unlisted molecular pathology procedure 1,397 1,235 $759.61
82746 187 177 $739.51
88360 12 12 $737.62
85305 78 76 $720.38
86644 84 81 $708.09
86023 82 68 $701.30
83521 18 15 $682.18
81335 73 67 $660.44
86684 57 57 $659.85
82507 29 28 $653.92
86617 27 27 $595.81
86593 188 188 $592.32
87538 26 25 $554.22
84585 64 62 $553.91
86609 126 45 $537.74
81283 39 36 $534.33
83735 128 123 $498.47
86901 138 127 $489.45
81400 57 53 $473.82
86900 138 127 $465.51
86663 69 64 $433.08
99001 183 172 $422.45
82390 72 71 $404.88
84207 26 26 $402.92
86747 14 14 $387.74
85302 41 39 $384.11
83945 35 34 $382.14
86638 26 25 $370.79
81403 43 40 $370.40
81226 54 52 $363.06
86001 24 22 $361.48
86611 44 27 $357.81
87186 70 68 $352.32
84311 72 71 $344.01
85610 153 146 $342.05
82085 46 46 $339.59
86256 45 42 $335.27
81306 28 25 $322.66
84550 66 66 $308.32
83630 40 38 $289.43
85307 26 26 $274.17
82634 16 12 $268.76
86622 40 39 $262.47
81508 17 17 $248.64
84466 25 25 $247.75
81225 54 52 $237.68
82525 27 27 $236.94
81227 52 50 $226.53
83690 88 84 $204.43
87484 16 12 $203.51
87468 16 12 $203.51
86161 26 26 $202.26
81231 53 50 $191.43
81230 53 50 $191.43
81232 40 37 $191.43
81001 191 170 $176.62
80175 15 12 $160.01
87254 17 17 $150.14
82340 28 27 $141.59
82668 28 27 $141.05
82523 16 16 $139.13
84590 26 26 $135.94
84105 28 27 $124.95
84392 27 26 $119.78
87168 30 29 $118.23
84300 27 26 $114.06
84560 28 27 $108.91
84133 27 26 $105.07
87300 17 17 $101.53
81328 27 24 $95.40
81350 43 40 $85.25
84154 13 13 $84.99
80346 27 25 $83.84
82043 37 37 $80.04
83986 27 26 $78.24
81247 28 25 $75.96
82950 12 12 $66.12
82150 15 15 $60.30
82040 16 14 $56.55
87427 14 14 $55.86
80048 Basic metabolic panel (calcium, ionized) 12 12 $54.28
83721 60 59 $52.72
82565 13 13 $51.21
83529 12 12 $44.34
81355 27 24 $38.34
87045 13 13 $33.05
84480 13 13 $26.39
0346U 13 13 $18.65
80324 13 12 $0.00
0001M 14 14 $0.00
81381 27 24 $0.00
80362 19 14 $0.00