Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Palm Desert › NPI 1871038778
Lab

Prime Clinical Laboratory INC.

Prime Clinical Laboratory INC. was paid $172K by Medicaid between Jan 2018 and Jan 2023, across 21 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 — 71% of everything it billed.

33Billing provider infoPRIME CLINICAL LABORATORY INC.
PALM DESERT, CA 92260
33aNPI1871038778assigned 12/30/2016
28Total paid$172K
24GClaims8,174
24DCodes billed21
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#292 of 561
Median peer was paid$222K
This provider vs. median0.8×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,890$656.80
20213,773$97K
20222,491$74K
202320$324.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 71% 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 16% 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 11% 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 <1% 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 <1% 480 417 $651.54
80053 Comprehensive metabolic panel <1% 300 268 $219.28
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 188 181 $166.06
84439 <1% 258 234 $149.20
80048 Basic metabolic panel (calcium, ionized) <1% 77 73 $44.86
80061 Lipid panel <1% 285 258 $31.17
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 323 295 $25.26
84443 Thyroid stimulating hormone (TSH) <1% 270 244 $13.28
9 more codes
83036 Hemoglobin; glycosylated (A1C) <1% 176 $7.69
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 0% 12 $0.00
87653 0% 12 $0.00
87641 0% 12 $0.00
87481 0% 12 $0.00
87640 0% 12 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 0% 12 $0.00
81001 0% 13 $0.00
87500 0% 12 $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 officialBRAGASIN, JOSE (OWNER)