Medicaid Provider Spending

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

QUEST DIAGNOSTICS CLINICAL LABORATORIES INC

NPI: 1851959928 · ROANOKE, VA 24014 · Clinical Medical Laboratory · NPI assigned 06/03/2019

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

Authorized official BOWLES, CHARLES controls 20+ related entities in our dataset. Read more

$186K
Total Medicaid Paid
64,460
Total Claims
56,691
Beneficiaries
83
Codes Billed
2019-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBOWLES, CHARLES (VICE PRESIDENT)
Parent OrganizationQUEST DIAGNOSTICS INCORPORATED
NPI Enumeration Date06/03/2019

Related Entities

Other providers sharing the same authorized official: BOWLES, CHARLES

ProviderCityStateTotal Paid
QUEST DIAGNOSTICS LLC MARLBOROUGH MA $209.74M
QUEST DIAGNOSTICS OF PENNSYLVANIA, INC. PITTSBURGH PA $132.39M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC SEATTLE WA $109.23M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC PORTLAND OR $21.85M
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. BUFFALO NY $20.20M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC COLLEGEVILLE PA $12.52M
SOLSTAS LAB PARTNERS GROUP LLC GREENSBORO NC $11.62M
QUEST DIAGNOSTICS INCORPORATED MI FLINT MI $8.64M
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC TUCKER GA $3.66M
UNILAB CORPORATION WEST HILLS CA $3.12M
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. TWINSBURG OH $2.56M
QUEST DIAGNOSTICS INCORPORATED MD FALLS CHURCH VA $936K
QUEST DIAGNOSTICS LLC WALLINGFORD CT $706K
QUEST DIAGNOSTICS OF PENNSYLVANIA INC. NORTH SYRACUSE NY $492K
SOLSTAS LAB PARTNERS, LLC KNOXVILLE TN $455K
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC NORRISTOWN PA $319K
UNILAB CORPORATION SAN JOSE CA $253K
UNILAB CORPORATION ORANGE CA $122K
QUEST DIAGNOSTICS LLC STRATFORD CT $103K
UNILAB CORPORATION BAKERSFIELD CA $53K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 16,996 $28K
2020 11,744 $31K
2021 5,548 $23K
2022 5,936 $23K
2023 5,825 $32K
2024 18,411 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80053 Comprehensive metabolic panel 7,554 6,804 $26K
80061 Lipid panel 4,410 4,137 $18K
86803 1,609 1,525 $18K
84443 Thyroid stimulating hormone (TSH) 3,860 3,566 $17K
87086 Culture, bacterial; quantitative colony count, urine 3,665 3,369 $14K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5,800 5,058 $14K
83036 Hemoglobin; glycosylated (A1C) 3,009 2,822 $8K
80048 Basic metabolic panel (calcium, ionized) 4,500 3,548 $8K
87340 956 911 $8K
85027 4,120 3,576 $7K
86762 559 531 $4K
86850 1,093 1,035 $4K
82607 843 778 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 286 241 $3K
87186 1,248 1,169 $3K
80050 General health panel 533 471 $2K
83735 1,170 1,025 $2K
84439 705 644 $2K
86900 737 699 $2K
86901 737 699 $2K
87077 941 741 $2K
82570 805 755 $1K
82728 329 311 $1K
87660 217 190 $1K
87510 217 190 $1K
87480 217 190 $1K
80076 358 323 $1K
83880 215 195 $878.60
83540 386 365 $684.41
86140 424 348 $666.52
82746 220 198 $662.63
81001 1,414 1,290 $605.09
87070 455 426 $568.48
82043 512 476 $477.16
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 75 71 $456.17
87081 141 136 $445.49
85610 584 283 $433.17
80074 33 26 $423.44
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 74 70 $421.08
87088 226 208 $409.10
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 19 19 $352.00
85652 452 381 $347.85
80164 223 203 $299.25
83550 167 159 $281.61
83970 129 123 $271.97
84156 167 155 $270.68
84550 235 214 $265.02
86592 93 93 $259.16
36415 Collection of venous blood by venipuncture 6,202 4,636 $238.48
80348 51 12 $237.69
82950 78 67 $219.40
80361 29 15 $128.40
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 65 65 $125.56
84436 109 87 $124.33
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 12 12 $121.65
84480 69 54 $121.18
86706 59 53 $107.40
84702 37 27 $100.30
87205 103 97 $86.41
80069 114 104 $57.21
87075 41 36 $52.68
82105 13 12 $50.31
87147 76 72 $41.44
83615 24 22 $36.24
86160 14 14 $35.12
84479 40 33 $34.48
82565 22 20 $25.60
81003 74 66 $21.13
84100 66 52 $20.55
84153 55 51 $18.39
83690 36 34 $13.78
82550 29 24 $13.02
85018 26 25 $11.14
87045 19 17 $3.64
87046 22 17 $2.02
87338 15 13 $0.00
87177 14 14 $0.00
85045 31 28 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 12 $0.00
82977 18 16 $0.00
87899 18 16 $0.00
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 131 109 $0.00
82670 13 12 $0.00