MID AMERICA CLINICAL LABORATORIES, LLC
NPI: 1780644021
· INDIANAPOLIS, IN 46219
· Clinical Medical Laboratory
· NPI assigned 03/23/2006
$163.06
Total Medicaid Paid
Provider Details
| Authorized Official | KMETZ, THOMAS (CFO) |
| NPI Enumeration Date | 03/23/2006 |
Related Entities
Other providers sharing the same authorized official: KMETZ, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
211 |
$135.43 |
| 2019 |
439 |
$27.63 |
| 2020 |
126 |
$0.00 |
| 2021 |
31 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 80048 |
Basic metabolic panel (calcium, ionized) |
465 |
288 |
$160.12 |
| 36415 |
Collection of venous blood by venipuncture |
114 |
77 |
$2.94 |
| 83880 |
|
99 |
78 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
39 |
26 |
$0.00 |
| 83735 |
|
25 |
17 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
41 |
25 |
$0.00 |
| 84100 |
|
24 |
12 |
$0.00 |