Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lab

CMMS Lab, LLC

CMMS Lab, LLC was paid $62K by Medicaid between Jan 2018 and Nov 2020, across 83 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 — 15% of everything it billed.

33Billing provider infoCMMS LAB, LLC
ARLINGTON, TX 76018
33aNPI1952844201assigned 11/18/2016
28Total paid$62K
24GClaims185,729
24DCodes billed83
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers

Next to other Clinical Medical Laboratory providers in Texas

Rank by total paid#170 of 436
Median peer was paid$17K
This provider vs. median3.6×

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$5.0K$10K2018201920202021202220232024
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
2018159,494$44K
201921,722$7K
20204,513$12K
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 15% 2,258 1,600 $10K
87900 9.4% 1,700 1,216 $6K
87799 8.4% 2,036 1,217 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 6.3% 17,434 12,429 $4K
80053 Comprehensive metabolic panel 5.1% 11,958 9,328 $3K
87481 3.5% 2,679 2,133 $2K
87653 3.2% 2,555 2,059 $2K
87640 3.2% 2,686 2,137 $2K
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 3.1% 2,255 1,598 $2K
87500 2.5% 1,700 1,216 $2K
84443 Thyroid stimulating hormone (TSH) 2.5% 4,794 4,263 $2K
80048 Basic metabolic panel (calcium, ionized) 2.5% 5,892 3,937 $2K
71 more codes
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2.3% 5,636 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2.3% 1,712 $1K
87641 2.3% 1,568 $1K
87652 2.3% 1,696 $1K
83880 2.0% 1,024 $1K
87482 1.9% 1,698 $1K
P9603 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled 1.8% 32,736 $1K
83036 Hemoglobin; glycosylated (A1C) 1.7% 4,750 $1K
85610 1.3% 4,466 $783.63
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 987 $582.40
87529 <1% 982 $582.40
87496 <1% 982 $582.40
87556 <1% 986 $582.40
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 982 $582.40
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 987 $582.40
80061 Lipid panel <1% 3,895 $521.84
82607 <1% 1,082 $491.52
80177 <1% 891 $445.83
87493 <1% 265 $396.32
80164 <1% 1,935 $382.31
82140 <1% 374 $372.73
87086 Culture, bacterial; quantitative colony count, urine <1% 2,133 $368.28
81001 <1% 4,602 $348.13
80185 <1% 774 $348.12
84134 <1% 1,067 $324.25
Q0092 Set-up portable x-ray equipment <1% 13 $315.38
36415 Collection of venous blood by venipuncture <1% 3,936 $219.00
82274 <1% 204 $216.30
87186 <1% 1,844 $211.08
87070 <1% 319 $180.75
87088 <1% 1,149 $173.38
87400 <1% 145 $138.10
83735 <1% 1,471 $135.90
87077 <1% 817 $130.25
82746 <1% 353 $110.13
80069 <1% 1,590 $100.00
83540 <1% 574 $90.98
86140 <1% 418 $86.45
83970 <1% 76 $85.62
80156 <1% 328 $80.54
87205 <1% 176 $76.27
82550 <1% 203 $75.75
82728 <1% 354 $75.41
87075 <1% 95 $75.28
84436 <1% 476 $65.66
80076 <1% 576 $62.01
84439 <1% 337 $58.18
84479 <1% 422 $55.10
85652 <1% 404 $54.12
80178 <1% 183 $35.79
80162 <1% 352 $30.60
83550 <1% 215 $27.18
87449 <1% 12 $24.86
84132 <1% 155 $14.31
82040 <1% 14 $10.26
84550 <1% 381 $10.16
84100 <1% 320 $7.64
82043 <1% 92 $6.42
82570 <1% 58 $5.37
85014 <1% 196 $5.19
85032 <1% 36 $4.47
84156 <1% 16 $3.81
85018 <1% 164 $2.73
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 0% 757 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 70 $0.00
84481 0% 28 $0.00
80184 0% 128 $0.00
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) 0% 30,025 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 0% 49 $0.00
84153 0% 29 $0.00
87046 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 officialNELSON, STEPHEN (LLC MANAGER AND PRESIDENT)
Same official

Other billing entities under NELSON, STEPHEN

Full network →
ProviderLocationPaid
Corridor Medical Services INCNew Braunfels, TX$1.78M
Infectious Disease Associates, P.C.Chester, PA$111K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.