In a series of blogs over the last several weeks, I've discussed the explosion in spending for CPT code 81408, which came out of nowhere in 2017 to become the highest-spending CPT code in MoPath in 2019. See here.
LabSolutions in the Press
As I explained in that blog, in 2017, LabSolutions in George became one of the first-ever labs to bill 81408, with about 60% of national payments for 81408 in 2017. (Anomalously, CMS has not released its 2018 lab payment data, it's late and I think it's being held til after the election.) For a September 2019 story about LabSolutions here. (FN1) For a November 2019 story here.
LabSolutions at Palmetto DEX/MOLDX
Since Georgia is a MolDx state, LabSolutions had to apply for Z codes. While Z codes are used internally at MolDx, the labs and tests and whether tests are covered by Medicare can be found in a public website run by Palmetto here.
You get a webpage at DEX for LabSolutions LLC, and you gets its NPI, lab director, and address.
A Full Profile of Expected Lab Billing to CMS
Moreover, even on October 13, 2020, many of the codes for LabSolutions are still publicly listed by the Palmetto MAC as being "payable."here).
The cited article states, September 2019, that
"Mina Patel, the owner of Atlanta-based LabSolutions, was charged in federal court in Miami last week with 13 counts including conspiracy, health care fraud, conspiracy to defraud the government [etc]."
The article adds that Patel "billed Medicare for more than $494M" and that DOJ seized $30M and a Ferrari from Patel. Another articles says that Medicare payments were $154M 2016-2019.
The lab's attorney asserted there were misleading statements by parties seeking to lighten their own sentences (here). "The conduct of LabSolutions and Minal Patel was based on the advice of lawyers."