1023354040

1023354040 was paid $545K by Medicaid between Jan 2018 and Oct 2019, across 47 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 30% of everything it billed.

33Billing provider info1023354040

33aNPI1023354040

33bProvider type—

28Total paid$545K

24GClaims73,342

24DCodes billed47

24AFirst – last monthJan 2018 – Oct 2019

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	41,635	$378K
2019	31,707	$166K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	30%	13,285	8,181	$165K
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	17%	9,702	4,666	$94K
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	11%	3,467	2,827	$58K
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	8.1%	803	665	$44K
80321		2.0%	3,160	2,195	$11K
80373		1.7%	2,398	1,629	$9K
80346		1.7%	2,590	1,771	$9K
80372		1.7%	2,339	1,595	$9K
80348		1.6%	3,200	2,251	$9K
80362		1.6%	2,992	2,149	$9K
80324		1.6%	2,451	1,724	$9K
80369		1.6%	2,337	1,588	$9K

35 more codes

80368		1.6%	2,323	$9K
80354		1.6%	2,471	$9K
80358		1.5%	2,354	$8K
80356		1.5%	2,364	$8K
80365		1.5%	2,256	$8K
80361		1.5%	2,340	$8K
80345		1.4%	2,350	$8K
80359		1.3%	1,575	$7K
80353		1.3%	1,391	$7K
80355		1.1%	613	$6K
80366		1.1%	583	$6K
80349		1.1%	1,083	$6K
80360		<1%	88	$4K
83992		<1%	1,327	$4K
80367		<1%	94	$4K
80357		<1%	61	$3K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	283	$2K
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	<1%	458	$1K
80336		<1%	13	$1K
80050	General health panel	<1%	76	$275.30
80061	Lipid panel	<1%	118	$270.36
80363		<1%	14	$248.49
82670		<1%	44	$161.25
82627		<1%	46	$128.33
83001		<1%	46	$107.24
83002		<1%	45	$106.87
84144		<1%	45	$72.07
84443	Thyroid stimulating hormone (TSH)	<1%	12	$43.24
80076		<1%	13	$39.00
82248		<1%	19	$37.44
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	21	$16.00
80335		<1%	24	$14.05
80053	Comprehensive metabolic panel	<1%	14	$12.00
80323		<1%	23	$4.11
85027		0%	31	$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.