Medicaid Provider Spending

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

FLEMING, SARA

NPI: 1972575157 · ROCKFORD, IL 61104 · Anatomic Pathology & Clinical Pathology Physician · NPI assigned 02/02/2006

$13.03M
Total Medicaid Paid
1,936,239
Total Claims
1,427,322
Beneficiaries
236
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 159,972 $974K
2019 237,077 $1.38M
2020 298,789 $1.50M
2021 374,795 $2.68M
2022 339,614 $2.68M
2023 295,871 $2.11M
2024 230,121 $1.71M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 37,735 31,117 $1.40M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 36,885 29,880 $963K
80053 Comprehensive metabolic panel 169,723 113,278 $875K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 27,668 25,639 $617K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 27,611 25,603 $616K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 175,874 116,229 $508K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 5,746 5,418 $455K
87632 4,953 4,355 $433K
84443 Thyroid stimulating hormone (TSH) 46,606 39,064 $382K
82805 12,866 7,513 $313K
80048 Basic metabolic panel (calcium, ionized) 61,412 31,901 $253K
83735 69,363 36,035 $237K
87086 Culture, bacterial; quantitative colony count, urine 45,153 39,350 $231K
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 8,410 7,271 $222K
85027 76,823 46,978 $221K
87641 9,167 7,935 $199K
84484 43,289 30,413 $198K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 9,495 9,027 $188K
83880 15,793 12,385 $178K
87040 15,530 11,178 $174K
83605 27,547 18,095 $165K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,742 3,582 $131K
82962 63,697 20,327 $130K
80061 Lipid panel 33,775 28,489 $117K
83036 Hemoglobin; glycosylated (A1C) 36,635 31,791 $115K
83690 32,030 26,737 $108K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 15,350 13,062 $105K
86703 10,754 9,727 $105K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 7,896 7,235 $105K
87186 14,797 12,849 $93K
85610 44,178 27,420 $89K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 5,801 5,481 $82K
87653 3,642 3,450 $82K
82607 13,786 11,857 $82K
86901 32,219 24,387 $72K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,223 2,046 $69K
86850 23,286 18,447 $67K
82746 11,731 10,081 $67K
87081 23,304 21,913 $66K
86803 7,962 7,216 $66K
81001 45,930 39,077 $62K
82728 15,616 12,454 $61K
85730 18,959 15,405 $59K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 7,065 6,736 $55K
87340 8,106 7,222 $54K
83498 6,331 4,932 $50K
82261 6,155 4,755 $50K
84439 11,021 9,495 $48K
86003 2,214 1,940 $48K
86900 28,285 22,987 $48K
83021 7,755 6,266 $48K
81025 22,550 19,741 $47K
83516 8,931 7,605 $43K
84100 16,944 7,907 $43K
84702 9,171 6,392 $42K
82775 6,113 4,757 $42K
87210 19,624 18,429 $41K
87634 1,590 1,534 $40K
82330 3,700 1,488 $39K
85379 9,995 7,532 $37K
82139 6,190 4,808 $37K
82803 1,388 415 $36K
83550 8,437 7,306 $36K
82017 6,139 4,771 $36K
87449 3,107 2,405 $35K
88307 441 367 $35K
86706 4,707 4,301 $32K
83655 5,456 5,262 $31K
86141 3,822 3,431 $31K
86592 15,569 13,969 $31K
81003 30,063 26,604 $31K
83540 9,175 7,891 $29K
86704 3,735 3,464 $29K
83970 1,709 1,464 $27K
81511 530 508 $26K
82570 11,231 9,374 $26K
82550 7,996 5,219 $25K
87522 Neg quan hep c or qual rna 927 874 $25K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1,067 862 $25K
86038 3,148 2,772 $24K
84146 3,171 2,680 $21K
87070 6,694 5,379 $21K
86140 8,856 5,769 $21K
83874 3,715 3,235 $20K
82784 2,768 2,525 $19K
84437 6,066 4,707 $19K
80074 947 792 $18K
87807 3,589 3,319 $18K
82247 7,737 3,270 $18K
82553 4,701 3,846 $17K
86708 3,535 3,288 $17K
80202 2,468 1,248 $16K
82248 7,283 2,763 $16K
85007 9,331 5,662 $16K
80076 4,223 3,135 $16K
84145 1,125 898 $15K
86880 4,928 4,564 $15K
87536 364 352 $15K
87902 190 185 $14K
82043 6,460 5,772 $14K
84153 2,152 1,857 $14K
86762 3,283 2,815 $14K
82105 1,669 1,576 $14K
87205 7,213 5,618 $13K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 943 922 $13K
82565 6,133 4,366 $13K
87806 1,327 1,147 $13K
85652 9,835 7,751 $13K
83615 4,563 3,020 $13K
85520 2,615 840 $13K
87529 345 333 $12K
84481 2,421 2,062 $12K
80069 3,012 1,329 $12K
87077 5,416 4,616 $12K
82140 2,626 1,626 $12K
87075 1,829 1,446 $11K
84403 867 737 $11K
88342 525 451 $10K
84132 5,001 2,601 $10K
83001 1,107 962 $10K
82533 1,390 1,080 $10K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 232 230 $10K
86481 351 300 $10K
80051 2,810 1,938 $9K
82950 3,492 3,248 $8K
87324 1,089 941 $8K
86376 1,763 1,507 $8K
82947 3,848 2,356 $7K
89051 1,493 1,005 $7K
82150 2,146 1,724 $7K
87427 1,114 968 $7K
84460 3,070 2,270 $7K
86787 828 678 $6K
86870 791 611 $6K
87045 902 763 $6K
84450 2,412 1,908 $5K
84156 4,752 3,553 $5K
87631 106 104 $5K
82785 1,211 1,081 $5K
85014 3,553 1,750 $5K
84295 1,483 621 $5K
85018 4,876 3,843 $5K
87184 1,104 981 $5K
84480 1,097 964 $5K
84520 2,560 1,883 $5K
86696 452 410 $5K
84550 2,137 1,710 $4K
84270 520 439 $4K
85384 1,258 886 $4K
82274 784 763 $4K
87338 418 409 $4K
86430 1,199 1,064 $4K
85045 2,838 2,140 $4K
84075 1,488 1,128 $3K
82009 2,581 1,953 $3K
82977 1,293 1,055 $3K
80197 607 345 $3K
83721 796 742 $3K
88304 151 149 $3K
81002 2,648 2,334 $3K
83883 411 380 $3K
87046 917 777 $3K
83002 544 462 $3K
82378 417 349 $3K
80164 602 484 $3K
83930 1,109 812 $3K
86922 268 227 $3K
84478 1,029 450 $2K
84300 1,169 888 $2K
86308 1,038 985 $2K
84144 265 166 $2K
80050 General health panel 3,701 3,626 $2K
82465 1,101 1,051 $2K
88341 71 55 $2K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 13 12 $2K
80055 122 96 $2K
83993 273 264 $2K
82040 774 541 $2K
86777 221 210 $1K
83013 143 133 $1K
86255 372 304 $1K
83718 359 323 $1K
86694 125 122 $1K
82951 189 186 $1K
80177 250 224 $1K
85049 978 625 $1K
82670 156 153 $1K
86800 197 160 $1K
83525 255 201 $1K
86695 146 139 $1K
83935 451 337 $1K
86360 231 225 $1K
86778 114 104 $996.40
86256 151 136 $962.70
84703 203 197 $723.16
87109 156 149 $703.17
87102 196 169 $641.70
86359 227 222 $637.94
86147 52 37 $608.22
80438 23 22 $567.64
85460 242 212 $544.55
84436 167 164 $538.95
86235 25 25 $519.20
84402 49 46 $455.35
86905 181 148 $454.70
82272 336 310 $433.17
86885 135 97 $411.75
82103 90 73 $402.93
86361 82 81 $388.00
86039 77 68 $385.20
84425 57 55 $365.37
80185 46 25 $337.48
86304 30 28 $325.50
86480 14 14 $312.36
87581 13 12 $297.70
87486 13 12 $297.70
82390 49 39 $217.07
80305 47 42 $206.42
84157 163 142 $203.07
85347 63 51 $178.10
80178 52 36 $177.65
82310 90 53 $175.58
84080 39 39 $172.77
82945 75 64 $118.58
83520 19 15 $115.38
86765 24 24 $102.50
84154 12 12 $79.20
86735 12 12 $76.20
82104 16 12 $66.40
82575 13 12 $59.93
82627 16 16 $56.68
86225 13 13 $53.10
85008 45 42 $51.03
84160 33 26 $49.72
82042 15 15 $34.95
86923 842 504 $0.00