Lab
Pmdlab, LLC
Pmdlab, LLC was paid $1.25M by Medicaid between Dec 2019 and Feb 2024, across 53 billing codes. Its largest line is 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 — 73% of everything it billed.
33Billing provider infoPMDLAB, LLC
SACRAMENTO, CA 95834
SACRAMENTO, CA 95834
33aNPI1841724895assigned 04/17/2017
33bProvider typeClinical Medical Laboratory
28Total paid$1.25M
24GClaims66,348
24DCodes billed53
24AFirst – last monthDec 2019 – Feb 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in California
Rank by total paid#179 of 561
Median peer was paid$222K
This provider vs. median5.6×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 394 | $4K | |
| 2020 | 953 | $3K | |
| 2021 | 3,972 | $69K | |
| 2022 | 25,913 | $731K | |
| 2023 | 34,979 | $433K | |
| 2024incomplete | 137 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 73% | 17,954 | 6,771 | $911K |
| G2024 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source | 7.8% | 6,421 | 2,538 | $97K |
| 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 | 4.3% | 8,425 | 3,391 | $53K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.5% | 7,370 | 5,048 | $31K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.0% | 771 | 358 | $25K |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 1.8% | 4,777 | 2,646 | $22K |
| 80053 | Comprehensive metabolic panel | 1.7% | 3,668 | 2,911 | $22K |
| 80048 | Basic metabolic panel (calcium, ionized) | 1.4% | 3,184 | 2,147 | $17K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,121 | 1,037 | $12K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,329 | 1,260 | $8K |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | <1% | 4,902 | 2,587 | $8K |
| 80061 | Lipid panel | <1% | 862 | 841 | $7K |
41 more codes
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 42 | $6K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 296 | $5K |
| 85610 | <1% | 829 | $3K | |
| 80164 | <1% | 383 | $3K | |
| 86003 | <1% | 15 | $1K | |
| 81001 | <1% | 726 | $1K | |
| 83880 | <1% | 73 | $1K | |
| 83735 | <1% | 247 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 921 | $949.10 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 220 | $941.23 |
| 84134 | <1% | 78 | $734.18 | |
| 84439 | <1% | 136 | $603.91 | |
| 86140 | <1% | 191 | $570.04 | |
| 80177 | <1% | 85 | $555.77 | |
| 82607 | <1% | 109 | $434.61 | |
| 84100 | <1% | 130 | $334.78 | |
| 85651 | <1% | 175 | $329.28 | |
| 82746 | <1% | 26 | $318.00 | |
| 82040 | <1% | 94 | $295.57 | |
| 85027 | <1% | 64 | $278.95 | |
| 80076 | <1% | 38 | $265.66 | |
| 80202 | <1% | 33 | $227.44 | |
| 83540 | <1% | 34 | $183.04 | |
| 84480 | <1% | 14 | $176.26 | |
| 80178 | <1% | 107 | $168.50 | |
| 80159 | <1% | 28 | $164.24 | |
| 84460 | <1% | 44 | $101.74 | |
| 87186 | <1% | 20 | $97.75 | |
| 82565 | <1% | 28 | $87.73 | |
| 84550 | <1% | 22 | $84.21 | |
| 84450 | <1% | 41 | $83.90 | |
| 86592 | <1% | 21 | $80.64 | |
| 82150 | <1% | 14 | $80.22 | |
| 84075 | <1% | 39 | $73.74 | |
| 84436 | <1% | 14 | $71.65 | |
| 82248 | <1% | 26 | $70.17 | |
| 84520 | <1% | 26 | $59.21 | |
| 84132 | <1% | 15 | $54.67 | |
| 84155 | <1% | 39 | $52.32 | |
| 87088 | <1% | 17 | $39.47 | |
| 99199 | Unlisted special service, procedure or report | 0% | 104 | $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 officialSIMMONS, PETER (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Pmdca, LLC | Laguna Hills, CA | $6.99M |
| Akeso Medical Solutions LLC | San Juan Capistrano, CA | $41K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.