Maxcare Diagnostics

Maxcare Diagnostics was paid $1.49M by Medicaid between Aug 2022 and Dec 2023, across 3 billing codes. Its largest line is 87637, Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV — 99% of everything it billed.

33Billing provider infoMAXCARE DIAGNOSTICS
IRVING, TX 75061

33aNPI1932849890assigned 03/30/2022

33bProvider typeClinical Medical Laboratory

28Total paid$1.49M

24GClaims17,641

24DCodes billed3

24AFirst – last monthAug 2022 – Dec 2023

Compared with peers

Next to other Clinical Medical Laboratory providers in Texas

Rank by total paid#54 of 436

Median peer was paid$17K

This provider vs. median87×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration99% of spending on code 87637 with only 3 total codes billed. Highly concentrated billing profile.

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
2022	574	$9K
2023	17,067	$1.49M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	99%	17,052	10,722	$1.48M
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%	302	186	$8K
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%	287	173	$2K

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 officialMOHAMMED, SAMEER HUSSAIN (LAB MANAGER)