Medicaid Provider Spending

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

PMDCA, LLC

NPI: 1912383183 · LAGUNA HILLS, CA 92653 · Clinical Medical Laboratory · NPI assigned 08/10/2015

$6.99M
Total Medicaid Paid
166,850
Total Claims
74,987
Beneficiaries
55
Codes Billed
2020-03
First Month
2024-05
Last Month

Provider Details

Authorized OfficialSIMMONS, PETER (AUTHORIZED OFFICIAL)
NPI Enumeration Date08/10/2015

Related Entities

Other providers sharing the same authorized official: SIMMONS, PETER

ProviderCityStateTotal Paid
PMDLAB, LLC SACRAMENTO CA $1.25M
AKESO MEDICAL SOLUTIONS LLC SAN JUAN CAPISTRANO CA $41K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,297 $4K
2021 18,532 $650K
2022 62,097 $2.78M
2023 74,738 $3.05M
2024 10,186 $508K

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 72,587 23,320 $5.06M
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 27,144 9,586 $1.34M
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 18,999 6,767 $258K
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 5,404 1,923 $114K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 10,650 7,503 $43K
80053 Comprehensive metabolic panel 6,231 5,008 $36K
99001 572 442 $35K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 377 220 $22K
84443 Thyroid stimulating hormone (TSH) 1,815 1,717 $15K
80048 Basic metabolic panel (calcium, ionized) 3,087 2,312 $12K
80061 Lipid panel 1,693 1,640 $11K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 690 662 $10K
83036 Hemoglobin; glycosylated (A1C) 1,901 1,803 $10K
80164 703 594 $5K
87086 Culture, bacterial; quantitative colony count, urine 560 528 $2K
81001 1,201 1,110 $2K
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) 3,086 2,181 $2K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 15 15 $1K
83735 363 269 $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 4,118 2,761 $1K
84134 124 116 $909.59
82607 183 174 $784.34
86141 99 75 $645.35
82040 456 399 $613.73
36415 Collection of venous blood by venipuncture 1,310 844 $592.88
84439 192 188 $555.41
82746 103 100 $554.84
82247 415 361 $524.21
84450 416 361 $517.21
84460 415 361 $511.41
84075 415 361 $508.80
80202 66 33 $493.36
80177 40 38 $371.70
84155 416 362 $362.40
83550 108 107 $309.52
83540 126 125 $301.79
85610 161 75 $276.07
87186 46 45 $209.65
84100 96 71 $163.75
84436 70 70 $149.12
85027 44 39 $146.81
82248 73 68 $140.22
80185 18 12 $122.55
86803 16 15 $120.81
82140 15 14 $113.44
87088 43 42 $104.37
87481 13 12 $99.97
82274 16 12 $85.88
82728 39 39 $82.60
86705 14 13 $81.73
80076 17 17 $81.64
87324 14 13 $51.74
85652 44 38 $50.46
87449 14 13 $49.40
85651 17 13 $22.02