Medicaid Provider Spending

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

QUEST DIAGNOSTICS LLC

NPI: 1952347791 · MARLBOROUGH, MA 01752 · Clinical Medical Laboratory · NPI assigned 06/21/2006

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

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

$209.74M
Total Medicaid Paid
45,938,450
Total Claims
41,319,964
Beneficiaries
421
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOWLES, CHARLES (SR. VICE PRESIDENT)
Parent OrganizationQUEST DIAGNOSTICS INCORPORATED
NPI Enumeration Date06/21/2006

Related Entities

Other providers sharing the same authorized official: BOWLES, CHARLES

ProviderCityStateTotal Paid
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
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC HORSHAM PA $48K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,614,562 $21.32M
2019 5,998,339 $22.74M
2020 5,287,200 $25.74M
2021 8,033,818 $38.58M
2022 6,632,039 $34.06M
2023 7,742,164 $34.95M
2024 6,630,328 $32.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,204,524 683,750 $33.04M
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 577,385 446,990 $30.13M
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 950,705 553,557 $19.18M
81513 82,909 77,648 $7.07M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 522,089 474,149 $5.96M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 521,951 473,997 $5.96M
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 526,494 492,546 $5.29M
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 519,853 486,690 $5.23M
86480 134,364 126,179 $4.47M
84443 Thyroid stimulating hormone (TSH) 1,084,291 1,008,072 $4.16M
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 90,625 84,449 $4.02M
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 200,840 184,638 $3.70M
83036 Hemoglobin; glycosylated (A1C) 866,443 809,696 $3.26M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,310,635 1,193,182 $2.63M
86003 57,555 51,142 $2.53M
86803 401,876 375,138 $2.31M
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 118,978 111,207 $2.22M
36415 Collection of venous blood by venipuncture 2,375,818 2,112,701 $2.15M
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 152,904 143,441 $2.12M
83013 57,995 54,358 $2.02M
82607 342,851 320,487 $1.71M
87086 Culture, bacterial; quantitative colony count, urine 376,535 340,060 $1.52M
86780 220,394 206,655 $1.45M
87522 Neg quan hep c or qual rna 57,950 53,600 $1.36M
83718 1,057,543 989,398 $1.33M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 11,106 9,761 $1.18M
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 56,908 52,610 $1.17M
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 2,051 1,987 $1.15M
82465 1,069,582 1,000,704 $1.10M
84478 1,055,544 985,020 $1.09M
84439 259,863 241,073 $1.08M
87340 240,774 225,865 $1.04M
87070 217,122 198,550 $1.03M
82728 290,729 270,336 $974K
82746 222,503 208,168 $944K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3,439 3,227 $811K
85027 383,506 355,247 $776K
87536 25,613 24,025 $758K
86235 27,064 25,033 $742K
87088 290,269 263,002 $739K
88305 Level IV - Surgical pathology, gross and microscopic examination 28,427 24,352 $724K
80061 Lipid panel 131,613 120,612 $700K
80050 General health panel 36,044 32,910 $681K
84153 119,373 111,574 $666K
81001 410,750 380,138 $661K
83655 148,535 139,256 $645K
86769 16,377 15,191 $619K
83550 270,790 251,911 $609K
80053 Comprehensive metabolic panel 154,932 139,169 $596K
83540 295,312 274,738 $518K
82565 1,533,961 1,400,834 $504K
87186 119,642 109,302 $493K
84702 68,438 53,287 $470K
87631 6,131 5,783 $459K
86317 78,469 73,817 $455K
83970 47,480 44,248 $447K
86704 76,949 72,358 $443K
84450 1,436,398 1,317,993 $437K
86705 71,637 67,703 $437K
82310 1,503,281 1,373,801 $425K
82043 171,751 160,591 $425K
86709 73,019 69,009 $416K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,647 3,191 $416K
86618 66,714 62,687 $415K
87077 139,766 127,896 $413K
82947 1,519,576 1,389,981 $405K
84460 1,441,147 1,322,224 $405K
84295 1,497,633 1,369,567 $404K
86592 200,801 188,624 $403K
88142 34,374 32,096 $401K
87480 35,864 33,232 $393K
87510 35,859 33,230 $391K
82374 1,496,126 1,368,403 $390K
84520 1,518,788 1,387,545 $388K
84132 1,498,943 1,370,488 $383K
86038 100,724 92,907 $375K
82670 31,641 29,376 $375K
87660 35,839 33,217 $374K
82435 1,496,142 1,368,400 $373K
86140 145,682 130,740 $370K
84075 1,385,760 1,271,895 $365K
82247 1,383,163 1,269,447 $363K
82105 46,113 43,097 $362K
82040 1,405,419 1,288,888 $359K
82784 68,553 63,784 $353K
86617 25,825 24,075 $346K
82570 265,566 217,602 $341K
86706 65,620 61,613 $338K
86708 59,651 55,987 $336K
87081 87,602 81,143 $326K
83525 58,861 55,294 $325K
83516 37,028 33,683 $322K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 9,053 8,191 $308K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 7,972 7,594 $305K
84146 50,529 47,133 $296K
84155 1,389,689 1,275,141 $286K
83001 44,889 41,886 $284K
86376 46,118 42,991 $276K
87902 2,934 2,668 $272K
83735 101,035 85,059 $267K
86666 19,841 14,360 $266K
86762 64,558 60,820 $262K
88112 11,149 9,961 $254K
82785 38,612 36,510 $240K
85652 176,836 161,103 $239K
84481 45,775 42,366 $235K
84403 25,034 23,313 $232K
86800 38,749 35,971 $228K
83002 36,788 34,430 $224K
86364 28,745 27,247 $223K
86008 10,110 8,660 $218K
86787 48,155 45,165 $216K
80081 4,599 3,943 $215K
86200 38,586 36,251 $203K
86665 15,510 14,321 $200K
84480 44,299 41,280 $186K
83020 20,660 19,023 $184K
87147 47,197 43,825 $177K
86696 34,203 32,172 $171K
82627 24,712 23,103 $169K
86160 16,139 15,040 $163K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 3,334 2,691 $162K
84436 65,867 61,828 $159K
86765 39,079 36,832 $159K
83880 13,123 11,877 $156K
86735 36,820 34,685 $152K
86360 11,471 10,823 $148K
82533 20,881 19,075 $148K
83690 46,847 43,152 $147K
86431 59,588 55,917 $136K
85610 71,582 61,023 $135K
88141 15,906 14,721 $134K
82274 19,500 18,218 $132K
80074 5,764 5,198 $130K
86753 14,597 12,959 $129K
83021 14,107 13,802 $128K
80164 22,814 20,726 $126K
87517 5,360 5,050 $123K
86039 27,282 25,506 $119K
82550 37,443 34,121 $119K
86225 22,887 21,505 $118K
81401 852 835 $112K
86695 31,131 29,304 $112K
80197 20,696 13,338 $111K
83721 29,723 27,938 $110K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 3,784 2,603 $109K
84144 12,715 11,380 $107K
88304 7,794 7,368 $107K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,414 1,370 $106K
84479 42,891 40,386 $106K
87506 933 868 $106K
86361 9,846 9,271 $104K
85730 36,752 34,227 $102K
84703 25,888 24,043 $102K
82330 20,606 19,222 $102K
88342 3,102 2,532 $102K
G0482 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; 15-21 drug class(es), including metabolite(s) if performed 2,253 1,125 $97K
86141 15,526 14,310 $95K
84270 11,684 10,915 $94K
83014 22,568 21,128 $93K
80048 Basic metabolic panel (calcium, ionized) 27,950 23,736 $92K
86850 35,964 33,898 $91K
87338 11,579 10,799 $90K
82248 158,730 145,005 $89K
82150 26,834 24,709 $89K
87209 15,664 14,268 $88K
84550 63,851 59,482 $88K
86334 9,912 9,253 $86K
87427 14,170 13,111 $85K
87799 5,804 3,077 $84K
86258 7,302 6,929 $82K
87625 4,810 4,542 $81K
87449 16,281 12,745 $78K
86664 13,442 12,419 $78K
85018 96,058 90,164 $77K
88341 1,679 1,452 $77K
82950 33,267 30,918 $76K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 305 292 $76K
82652 3,573 3,325 $75K
87045 14,886 13,770 $74K
84154 18,840 17,705 $73K
84165 17,602 16,325 $73K
87329 12,419 11,274 $72K
80178 21,612 18,959 $69K
85014 83,176 77,998 $67K
84156 41,334 36,212 $66K
84681 9,014 8,425 $66K
82977 35,106 32,101 $65K
84466 10,134 9,457 $64K
84402 4,021 3,886 $63K
86901 39,379 36,886 $63K
86900 39,484 36,996 $62K
87493 3,558 3,320 $61K
84100 78,183 65,602 $61K
81003 54,556 51,125 $60K
87205 25,206 23,243 $59K
87075 11,316 10,410 $59K
87177 15,665 14,267 $59K
85007 39,546 36,278 $59K
83520 8,907 6,103 $59K
86747 5,135 4,720 $58K
86147 5,093 4,579 $58K
88185 238 226 $56K
82024 5,242 4,789 $56K
83615 30,526 27,079 $55K
87324 10,193 9,308 $53K
86870 2,276 2,058 $53K
81329 1,424 1,388 $50K
82951 8,060 7,561 $50K
83090 8,258 7,784 $49K
80076 10,472 9,430 $48K
86021 5,024 4,648 $48K
87150 2,296 2,177 $45K
85045 21,005 19,405 $44K
87254 5,506 5,332 $42K
88230 930 883 $40K
82378 5,584 4,809 $39K
85041 38,548 35,963 $39K
81596 1,404 1,327 $37K
87497 2,011 1,185 $37K
82390 7,517 7,072 $37K
86304 3,842 3,488 $35K
86777 4,891 4,627 $35K
87046 10,659 8,988 $35K
84134 8,656 7,335 $35K
87102 6,313 5,878 $35K
86644 5,045 4,717 $34K
81025 9,760 8,480 $34K
87650 2,695 2,499 $33K
86255 5,880 4,026 $32K
88262 662 626 $32K
85379 6,227 5,742 $32K
82747 5,596 5,348 $32K
83521 3,549 3,348 $31K
84425 3,109 3,024 $31K
87255 2,887 2,466 $28K
88344 506 441 $28K
82677 2,314 2,214 $26K
85048 25,061 22,924 $26K
86778 3,457 3,275 $25K
88300 3,794 3,628 $25K
85060 3,673 3,387 $25K
80055 828 754 $24K
87101 4,753 4,459 $24K
82787 2,070 1,873 $24K
86593 11,318 10,464 $23K
86308 7,933 7,425 $23K
86645 4,365 4,075 $23K
86301 3,052 2,650 $23K
84166 3,094 2,827 $23K
87106 4,290 3,979 $22K
87484 1,561 1,442 $22K
82103 4,737 4,465 $21K
86060 5,689 5,357 $21K
83010 3,706 3,472 $21K
84432 3,863 3,552 $21K
86359 3,950 3,742 $21K
82668 2,093 1,992 $19K
87206 5,599 5,076 $19K
86702 2,695 2,467 $19K
86381 2,546 2,441 $17K
86336 2,306 2,206 $17K
87469 2,173 2,022 $16K
80156 3,050 2,832 $16K
85660 5,845 5,516 $16K
85246 1,658 1,542 $15K
87468 1,658 1,535 $15K
87040 2,660 2,142 $15K
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 19,970 16,130 $14K
86036 1,980 1,901 $14K
86663 2,588 2,443 $14K
85613 2,874 2,705 $14K
86015 2,616 2,485 $14K
88312 497 460 $13K
81015 8,715 8,229 $13K
82952 6,357 5,954 $13K
80185 2,322 2,088 $12K
86335 1,317 1,247 $12K
86701 2,695 2,467 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,039 1,021 $12K
87350 1,971 1,864 $12K
G0483 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; 22 or more drug class(es), including metabolite(s) if performed 184 176 $12K
83921 1,494 1,439 $12K
86707 1,767 1,675 $11K
87512 1,779 1,624 $11K
87140 2,756 2,403 $11K
ATP03 2,427 2,406 $10K
85245 1,230 1,169 $10K
ATP14 6,231 5,956 $10K
84630 1,432 1,356 $10K
84484 1,807 1,594 $9K
ATP17 4,671 4,647 $9K
84207 713 682 $9K
87220 2,729 2,601 $8K
80159 1,488 1,154 $8K
80051 2,279 1,967 $8K
87076 1,591 1,511 $7K
85240 925 867 $7K
83883 1,653 920 $7K
83935 2,158 1,934 $7K
86300 1,026 896 $7K
80069 1,921 1,650 $7K
80202 1,079 611 $7K
ATP15 2,437 1,916 $7K
85004 4,527 4,032 $7K
82232 992 932 $7K
83498 308 305 $6K
87275 902 881 $6K
82525 806 766 $6K
87276 902 881 $6K
83930 2,078 1,859 $6K
87328 924 840 $6K
87481 480 348 $6K
87529 526 256 $6K
88189 182 172 $6K
81511 788 737 $6K
87107 807 773 $5K
84445 168 164 $5K
84300 2,274 2,055 $5K
87272 843 818 $5K
88184 250 238 $5K
88271 79 74 $5K
80158 763 484 $5K
86886 1,663 1,509 $5K
88307 78 76 $5K
82340 1,901 1,766 $5K
86146 256 133 $5K
82542 343 295 $5K
88313 121 114 $4K
85384 919 845 $4K
84255 215 212 $4K
82140 558 491 $4K
87207 1,147 1,082 $4K
ATP16 1,209 798 $4K
85306 451 441 $4K
80195 624 455 $4K
ATP09 2,452 1,753 $3K
ATP08 2,205 2,081 $3K
80184 786 734 $3K
85300 557 522 $3K
82672 194 188 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 291 282 $3K
81229 92 80 $3K
83003 483 394 $3K
89055 1,263 1,139 $3K
86341 84 70 $3K
85303 375 359 $2K
82985 679 649 $2K
80177 513 492 $2K
87800 32 26 $2K
87478 335 310 $2K
80299 273 249 $2K
85049 2,140 1,989 $2K
84482 208 188 $2K
87300 222 218 $2K
82553 438 385 $2K
87280 253 217 $2K
87015 487 444 $2K
86880 567 516 $2K
86256 245 220 $1K
84305 113 113 $1K
88235 15 12 $1K
82172 338 323 $1K
82610 298 185 $1K
83993 129 127 $1K
80175 283 271 $1K
80162 240 210 $1K
86628 55 52 $1K
ATP04 236 228 $1K
ATP07 448 437 $963.73
86812 79 74 $907.14
83695 110 107 $829.88
ATP02 359 353 $818.42
81243 16 16 $785.02
86611 56 43 $783.84
80165 3,263 2,971 $694.36
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 450 446 $660.92
83519 96 65 $644.97
84590 114 109 $635.65
87563 39 37 $624.89
82104 71 70 $572.70
87185 454 432 $509.24
89060 124 118 $495.40
89051 168 160 $490.17
86905 194 181 $479.22
ATP11 198 197 $464.72
G0103 Prostate cancer screening; prostate specific antigen test (psa) 2,165 2,133 $464.51
ATP10 146 141 $379.39
85597 58 56 $368.39
86337 30 29 $365.30
82530 28 25 $351.99
ATP05 86 86 $350.07
81256 245 234 $340.42
82088 12 12 $335.51
87116 68 56 $334.43
ATP18 148 148 $320.61
81241 763 736 $269.39
87172 92 43 $264.69
81240 417 405 $178.50
82575 25 24 $144.00
88302 14 14 $141.48
87260 13 12 $122.99
83835 13 12 $111.87
86037 14 14 $111.85
81291 565 543 $111.74
82552 13 13 $85.35
84133 42 39 $85.05
99001 154 115 $83.64
80183 14 13 $77.43
86632 13 12 $72.97
84560 27 24 $70.91
85598 12 12 $60.36
ATP13 13 13 $55.20
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 363 360 $46.35
36416 378 330 $35.00
80349 130 75 $0.00
80358 268 127 $0.00
G0475 Hiv antigen/antibody, combination assay, screening 274 272 $0.00
G0434 Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter 426 251 $0.00
80354 322 154 $0.00
80348 46 26 $0.00