Medicaid Provider Spending

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

IDEAL OPTION, PLLC

NPI: 1841648623 · KENNEWICK, WA 99336 · Clinical Medical Laboratory · NPI assigned 06/02/2016

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

Authorized official DAWSON, BRIAN controls 20+ related entities in our dataset. Read more

$39.28M
Total Medicaid Paid
325,908
Total Claims
198,108
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDAWSON, BRIAN (CMO)
NPI Enumeration Date06/02/2016

Related Entities

Other providers sharing the same authorized official: DAWSON, BRIAN

ProviderCityStateTotal Paid
IDEAL OPTION, PLLC HAGERSTOWN MD $7.35M
IDEAL OPTION, PLLC CUT BANK MT $3.65M
IDEAL OPTION, PLLC GREAT FALLS MT $3.29M
COLORADO HOSPITALIST SERVICES, PLLC ENGLEWOOD CO $2.21M
IDEAL OPTION, PLLC CUMBERLAND MD $1.79M
IDEAL OPTION, PLLC BOZEMAN MT $1.62M
EAGLE CREEK EMERGENCY GROUP, PC PARIS TN $1.42M
IDEAL OPTION LAB KENNEWICK WA $1.32M
IDEAL OPTION, PLLC BILLINGS MT $1.16M
IDEAL OPTION, PLLC FREDERICK MD $1.06M
IDEAL OPTION, PLLC WALDORF MD $917K
IDEAL OPTION, PLLC KALISPELL MT $731K
IDEAL OPTION, PLLC HELENA MT $702K
IDEAL OPTION, PLLC HELENA MT $695K
IDEAL OPTION, PLLC WILLISTON ND $691K
IDEAL OPTION, PLLC GREAT FALLS MT $676K
IDEAL OPTION, PLLC BUTTE MT $620K
IDEAL OPTION, PLLC CATONSVILLE MD $590K
HAVELY SPRINGS EMERGENCY GROUP, PC SPRINGFIELD TN $584K
COLORADO HOSPITALIST SERVICES, PLLC DENVER CO $341K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 71,719 $9.10M
2019 75,023 $8.80M
2020 41,631 $4.97M
2021 31,817 $4.13M
2022 39,315 $5.07M
2023 35,884 $4.14M
2024 30,519 $3.06M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 83,511 59,555 $15.96M
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 78,830 46,562 $10.34M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 106,779 45,783 $6.24M
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 49,596 39,353 $5.07M
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 6,953 6,655 $1.65M
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 50 43 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 50 43 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 50 43 $2K
81025 89 71 $766.29