Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lab

Heritage Labs, INC.

Heritage Labs, INC. was paid $2.32M by Medicaid between Dec 2018 and Dec 2024, across 69 billing codes. Its largest line is 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 — 31% of everything it billed.

33Billing provider infoHERITAGE LABS, INC.
BINGHAM FARMS, MI 48025
33aNPI1790274678assigned 05/06/2018
28Total paid$2.32M
24GClaims62,843
24DCodes billed69
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Michigan

Rank by total paid#23 of 108
Median peer was paid$588K
This provider vs. median3.9×

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$50K$100K$150K2018201920202021202220232024
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
201832$266.50
20192,666$20K
20203,102$25K
20215,043$220K
202216,424$620K
202314,971$392K
2024incomplete20,605$1.04M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 31% 11,811 7,856 $727K
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 21% 7,990 6,644 $477K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 18% 12,353 8,180 $413K
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 5.7% 6,751 5,606 $132K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 5.0% 941 871 $115K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 3.0% 1,572 1,323 $70K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 2.5% 1,262 1,114 $57K
87631 1.6% 390 377 $37K
87481 1.5% 382 363 $34K
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 1.3% 648 557 $31K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.0% 650 547 $23K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 231 216 $22K
57 more codes
87653 <1% 675 $14K
80053 Comprehensive metabolic panel <1% 1,957 $14K
81514 <1% 108 $13K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 535 $12K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 533 $11K
87563 <1% 483 $11K
84443 Thyroid stimulating hormone (TSH) <1% 970 $10K
80061 Lipid panel <1% 1,144 $9K
87641 <1% 358 $8K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 443 $8K
87640 <1% 367 $8K
87529 <1% 161 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,326 $7K
83036 Hemoglobin; glycosylated (A1C) <1% 1,048 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 472 $6K
87500 <1% 312 $6K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 300 $5K
82607 <1% 539 $5K
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count <1% 3,268 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 88 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 163 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 82 $2K
86769 <1% 42 $1K
87511 <1% 58 $1K
85027 <1% 210 $998.57
82728 <1% 119 $934.74
86803 <1% 93 $925.95
85007 <1% 392 $874.92
81001 <1% 425 $813.29
84439 <1% 112 $677.86
87086 Culture, bacterial; quantitative colony count, urine <1% 118 $621.24
83735 <1% 145 $612.57
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 32 $480.00
84481 <1% 26 $312.18
83540 <1% 60 $182.44
84153 <1% 13 $140.91
86780 <1% 14 $126.88
86593 <1% 32 $90.98
82746 <1% 12 $87.64
81003 <1% 52 $75.45
82465 <1% 21 $47.34
84100 <1% 14 $29.66
80048 Basic metabolic panel (calcium, ionized) <1% 12 $15.35
82310 <1% 39 $8.54
82565 <1% 40 $8.48
84520 <1% 39 $6.56
84460 <1% 36 $4.39
84075 <1% 36 $4.29
84450 <1% 36 $4.29
82247 <1% 36 $4.16
82040 <1% 36 $4.10
84132 <1% 40 $3.94
84155 <1% 36 $3.04
82435 0% 39 $0.00
82374 0% 39 $0.00
84295 0% 40 $0.00
82947 0% 36 $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 officialKIMINAIA, NAMEER (COO)