| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | |
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1 | Rndrng_NPI | Rndrng_Prvdr_Last_Org_Name | Rndrng_Prvdr_St1 | Rndrng_Prvdr_St2 | Rndrng_Prvdr_City | Rndrng_Prvdr_State_Abrvtn | HCPCS_Cd | HCPCS_Desc | Bene | SERV | Charge | Allowed | Mid | SUM | $7,562,834 | |||||||||||
2 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 36415 | Insertion of needle into vein for collection of blood sample | 29 | 40 | $15 | $3 | $3 | $120 | 0% | |||||||||||
3 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 80048 | Blood test, basic group of blood chemicals | 53 | 53 | $30 | $8 | $8 | $448 | 0% | |||||||||||
4 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 80053 | Blood test, comprehensive group of blood chemicals | 662 | 669 | $40 | $10 | $10 | $6,931 | 0% | |||||||||||
5 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 80061 | Blood test, lipids (cholesterol and triglycerides) | 641 | 645 | $50 | $13 | $13 | $8,488 | 0% | |||||||||||
6 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 80076 | Liver function blood test panel | 16 | 16 | $28 | $8 | $8 | $131 | 0% | |||||||||||
7 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81001 | Manual urinalysis test with examination using microscope | 20 | 20 | $44 | $3 | $3 | $63 | 0% | |||||||||||
8 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81162 | Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants | 566 | 566 | $7,188 | $1,790 | $1,790 | $1,013,355 | 13% | 96% | $7,239,430 | |||||||||
9 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81201 | Gene analysis (adenomatous polyposis coli), full gene sequence | 18 | 18 | $1,560 | $514 | $514 | $9,257 | 0% | |||||||||||
10 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81203 | Gene analysis (adenomatous polyposis coli), duplication or deletion variants | 20 | 20 | $420 | $139 | $139 | $2,778 | 0% | |||||||||||
11 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81209 | Gene analysis (bloom syndrome, recq helicase-like) | 38 | 38 | $150 | $39 | $39 | $1,488 | 0% | |||||||||||
12 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81242 | Gene analysis (fanconi anemia, complementation group c) common variant | 43 | 43 | $97 | $32 | $32 | $1,391 | 0% | |||||||||||
13 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81272 | Gene analysis (v-kit hardy-zuckerman 4 feline sarcoma viral oncogene homolog), targeted sequence | 543 | 543 | $640 | $324 | $324 | $175,709 | 2% | |||||||||||
14 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81292 | Gene analysis (mutl homolog 1, colon cancer, nonpolyposis type 2) full sequence analysis | 646 | 646 | $2,026 | $663 | $663 | $428,137 | 6% | |||||||||||
15 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81294 | Gene analysis (mutl homolog 1, colon cancer, nonpolyposis type 2) duplication or deletion variants | 273 | 273 | $607 | $198 | $198 | $54,160 | 1% | |||||||||||
16 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81295 | Gene analysis (muts homolog 2, colon cancer, nonpolyposis type 1) full sequence analysis | 603 | 603 | $1,145 | $375 | $375 | $225,824 | 3% | |||||||||||
17 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81297 | Gene analysis (muts homolog 2, colon cancer, nonpolyposis type 1) duplication or deletion variants | 651 | 651 | $640 | $209 | $209 | $136,248 | 2% | |||||||||||
18 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81298 | Gene analysis (muts homolog 6 [e coli]) full sequence analysis | 605 | 605 | $1,926 | $630 | $630 | $380,987 | 5% | |||||||||||
19 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81300 | Gene analysis (muts homolog 6 [e coli]) duplication or deletion variants | 647 | 647 | $714 | $234 | $234 | $151,094 | 2% | |||||||||||
20 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81317 | Gene analysis (postmeiotic segregation increased 2 [s cerevisiae]) full sequence analysis | 600 | 600 | $2,121 | $664 | $664 | $398,244 | 5% | |||||||||||
21 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81319 | Gene analysis (postmeiotic segregation increased 2 [s cerevisiae]) duplication or deletion variants | 650 | 650 | $611 | $200 | $200 | $129,792 | 2% | |||||||||||
22 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81321 | Gene analysis (phosphatase and tensin homolog), full sequence analysis | 875 | 875 | $1,800 | $589 | $589 | $515,139 | 7% | |||||||||||
23 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81323 | Gene analysis (phosphatase and tensin homolog), duplication or deletion variant | 938 | 938 | $900 | $294 | $294 | $276,091 | 4% | |||||||||||
24 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81403 | Molecular pathology procedure level 4 | 557 | 558 | $556 | $182 | $182 | $101,478 | 1% | 44% | ||||||||||
25 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81404 | Molecular pathology procedure level 5 | 850 | 850 | $1,100 | $270 | $270 | $229,237 | 3% | |||||||||||
26 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81405 | Molecular pathology procedure level 6 | 892 | 892 | $904 | $296 | $296 | $263,755 | 3% | |||||||||||
27 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81406 | Molecular pathology procedure level 7 | 892 | 892 | $849 | $278 | $278 | $247,592 | 3% | |||||||||||
28 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81407 | Molecular pathology procedure level 8 | 892 | 892 | $2,539 | $830 | $830 | $740,699 | 10% | |||||||||||
29 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81408 | Molecular pathology procedure level 9 | 892 | 892 | $6,000 | $1,962 | $1,962 | $1,750,523 | 23% | |||||||||||
30 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 81437 | Gene analysis (neuroendocrine tumors), genomic sequence | 15 | 15 | $1,464 | $430 | $430 | $6,452 | 0% | |||||||||||
31 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 82248 | Bilirubin level | 598 | 598 | $19 | $5 | $5 | $2,942 | 0% | |||||||||||
32 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 82306 | Vitamin d-3 level | 338 | 340 | $109 | $29 | $29 | $9,887 | 0% | |||||||||||
33 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 82533 | Cortisol (hormone) measurement | 598 | 598 | $60 | $16 | $16 | $9,550 | 0% | |||||||||||
34 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 82607 | Cyanocobalamin (vitamin b-12) level | 602 | 604 | $56 | $15 | $15 | $8,927 | 0% | |||||||||||
35 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 82627 | Dehydroepiandrosterone (dhea-s) hormone level | 598 | 598 | $82 | $22 | $22 | $13,030 | 0% | |||||||||||
36 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 82670 | Estradiol (hormone) level | 599 | 599 | $103 | $27 | $27 | $16,401 | 0% | |||||||||||
37 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 82728 | Ferritin (blood protein) level | 475 | 475 | $50 | $13 | $13 | $6,346 | 0% | |||||||||||
38 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 82746 | Folic acid level | 605 | 605 | $54 | $14 | $14 | $8,718 | 0% | |||||||||||
39 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 82977 | Glutamyltransferase (liver enzyme) level | 544 | 544 | $27 | $7 | $7 | $3,841 | 0% | |||||||||||
40 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 83001 | Gonadotropin, follicle stimulating (reproductive hormone) level | 598 | 598 | $69 | $18 | $18 | $10,890 | 0% | |||||||||||
41 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 83002 | Gonadotropin, luteinizing (reproductive hormone) level | 598 | 598 | $69 | $18 | $18 | $10,854 | 0% | |||||||||||
42 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 83003 | Human growth hormone level | 598 | 598 | $62 | $16 | $16 | $9,771 | 0% | |||||||||||
43 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 83036 | Hemoglobin a1c level | 517 | 519 | $36 | $10 | $10 | $4,941 | 0% | |||||||||||
44 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 83090 | Homocysteine (amino acid) level | 597 | 597 | $38 | $18 | $18 | $10,483 | 0% | |||||||||||
45 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 83525 | Insulin measurement | 599 | 599 | $42 | $11 | $11 | $6,709 | 0% | |||||||||||
46 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 83540 | Iron level | 469 | 469 | $15 | $6 | $6 | $2,973 | 0% | |||||||||||
47 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 83550 | Iron binding capacity | 476 | 476 | $32 | $9 | $9 | $4,079 | 0% | |||||||||||
48 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 83735 | Magnesium level | 488 | 488 | $25 | $7 | $7 | $3,206 | 0% | |||||||||||
49 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 83970 | Parathormone (parathyroid hormone) level | 441 | 441 | $153 | $40 | $40 | $17,838 | 0% | |||||||||||
50 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 84100 | Phosphate level | 115 | 115 | $18 | $5 | $5 | $535 | 0% | |||||||||||
51 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 84144 | Progesterone (reproductive hormone) level | 405 | 405 | $77 | $20 | $20 | $8,278 | 0% | |||||||||||
52 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 84146 | Prolactin (milk producing hormone) level | 598 | 598 | $72 | $19 | $19 | $11,356 | 0% | |||||||||||
53 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 84153 | Psa (prostate specific antigen) measurement | 15 | 18 | $64 | $18 | $18 | $331 | 0% | |||||||||||
54 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 84154 | Psa (prostate specific antigen) measurement | 204 | 204 | $42 | $18 | $18 | $3,680 | 0% | |||||||||||
55 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 84270 | Sex hormone binding globulin (protein) level | 545 | 545 | $80 | $21 | $21 | $11,609 | 0% | |||||||||||
56 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 84402 | Testosterone (hormone) level | 597 | 597 | $94 | $25 | $25 | $14,901 | 0% | |||||||||||
57 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 84403 | Testosterone (hormone) level | 633 | 634 | $60 | $25 | $25 | $16,053 | 0% | |||||||||||
58 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 84439 | Thyroxine (thyroid chemical) measurement | 657 | 658 | $33 | $9 | $9 | $5,830 | 0% | |||||||||||
59 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 84443 | Blood test, thyroid stimulating hormone (tsh) | 681 | 684 | $61 | $17 | $17 | $11,286 | 0% | |||||||||||
60 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 84480 | Thyroid hormone, t3 measurement | 53 | 53 | $50 | $14 | $14 | $752 | 0% | |||||||||||
61 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 84481 | Thyroid hormone, t3 measurement | 608 | 608 | $63 | $17 | $17 | $10,099 | 0% | |||||||||||
62 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 84550 | Uric acid level, blood | 654 | 654 | $17 | $4 | $4 | $2,904 | 0% | |||||||||||
63 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 686 | 693 | $29 | $8 | $8 | $5,288 | 0% | |||||||||||
64 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 15 | 15 | $25 | $6 | $6 | $97 | 0% | |||||||||||
65 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 86141 | Measurement c-reactive protein for detection of infection or inflammation | 336 | 336 | $29 | $13 | $13 | $4,274 | 0% | |||||||||||
66 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 86769 | Sars-cov-2 covid-19 antibody | 37 | 99 | $179 | $42 | $42 | $4,165 | 0% | |||||||||||
67 | 1417407727 | Clinical Lab Solutions Llc | 9671 Gladiolus Dr | Suite 102 | Fort Myers | FL | 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 | 82 | 344 | $343 | $100 | $100 | $34,400 | 0% | |||||||||||
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