Medicaid Provider Spending

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

PRIME CLINICAL LABORATORY INC.

NPI: 1871038778 · PALM DESERT, CA 92260 · Clinical Medical Laboratory · NPI assigned 12/30/2016

$172K
Total Medicaid Paid
8,174
Total Claims
5,694
Beneficiaries
21
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialBRAGASIN, JOSE (OWNER)
NPI Enumeration Date12/30/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,890 $656.80
2021 3,773 $97K
2022 2,491 $74K
2023 20 $324.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 1,951 1,171 $122K
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 1,938 1,160 $28K
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 1,769 1,065 $19K
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 62 62 $1K
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 480 417 $651.54
80053 Comprehensive metabolic panel 300 268 $219.28
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 188 181 $166.06
84439 258 234 $149.20
80048 Basic metabolic panel (calcium, ionized) 77 73 $44.86
80061 Lipid panel 285 258 $31.17
85025 Blood count; complete (CBC), automated, and automated differential WBC count 323 295 $25.26
84443 Thyroid stimulating hormone (TSH) 270 244 $13.28
83036 Hemoglobin; glycosylated (A1C) 176 169 $7.69
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 12 12 $0.00
87653 12 12 $0.00
87641 12 12 $0.00
87481 12 12 $0.00
87640 12 12 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 12 12 $0.00
81001 13 13 $0.00
87500 12 12 $0.00