Medicaid Provider Spending

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

PACGENOMICS

NPI: 1841715471 · AGOURA HILLS, CA 91301 · Clinical Medical Laboratory · NPI assigned 08/04/2017

$12.86M
Total Medicaid Paid
432,980
Total Claims
202,494
Beneficiaries
17
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialOLSAN, KENT (ADMINISTRATOR)
NPI Enumeration Date08/04/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 8,448 $238K
2022 71,982 $2.76M
2023 91,635 $2.27M
2024 260,915 $7.59M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 94,090 39,702 $3.03M
87632 31,516 18,460 $2.57M
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 38,354 17,681 $2.55M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 60,983 31,486 $1.59M
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 43,559 17,977 $876K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 29,893 15,848 $499K
87486 28,648 16,179 $499K
87581 28,492 16,039 $489K
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 20,619 9,709 $374K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 52,580 16,489 $303K
87631 1,783 1,247 $41K
87634 1,625 1,131 $40K
87428 86 79 $5K
86769 34 28 $642.72
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 690 411 $359.64
86408 13 13 $252.78
86328 15 15 $180.92