Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Firstox Laboratories, LLC

Firstox Laboratories, LLC was paid $1.34M by Medicaid between Oct 2018 and May 2023, across 70 billing codes. Its largest line is 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 — 44% of everything it billed.

33Billing provider infoFIRSTOX LABORATORIES, LLC
IRVING, TX 75063
33aNPI1033650866assigned 03/13/2017
28Total paid$1.34M
24GClaims96,437
24DCodes billed70
24AFirst – last monthOct 2018 – May 2023
Compared with peers

Next to other Clinical Medical Laboratory providers in Texas

Rank by total paid#58 of 436
Median peer was paid$17K
This provider vs. median78×

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$100K$200K2018201920202021202220232024
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
2018735$2K
20194,571$126K
202038,860$842K
202124,465$163K
202224,889$203K
20232,917$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 44% 8,428 5,411 $591K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 29% 19,525 12,289 $383K
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 10% 5,797 3,860 $140K
0054U 8.1% 2,184 1,246 $109K
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 2.0% 1,984 1,390 $27K
80171 1.2% 2,637 1,811 $16K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 1.0% 333 258 $14K
80346 <1% 1,695 1,046 $5K
80362 <1% 2,029 1,252 $4K
80361 <1% 1,775 1,093 $4K
U0005 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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 292 229 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 731 419 $2K
58 more codes
80354 <1% 2,157 $2K
80365 <1% 1,688 $2K
80373 <1% 1,691 $2K
80358 <1% 1,696 $2K
80366 <1% 1,700 $2K
80353 <1% 1,602 $2K
80355 <1% 820 $2K
80348 <1% 2,076 $2K
80369 <1% 1,491 $2K
80372 <1% 1,469 $2K
80356 <1% 1,648 $2K
80324 <1% 1,625 $2K
80345 <1% 1,493 $2K
80349 <1% 1,599 $2K
80357 <1% 1,485 $2K
80053 Comprehensive metabolic panel <1% 2,164 $1K
80321 <1% 1,540 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 2,471 $1K
84252 <1% 745 $738.65
80061 Lipid panel <1% 982 $705.33
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 315 $583.36
83036 Hemoglobin; glycosylated (A1C) <1% 1,074 $557.97
80360 <1% 585 $460.30
80164 <1% 373 $422.55
87653 <1% 685 $354.39
87500 <1% 526 $352.92
87481 <1% 639 $327.83
87640 <1% 689 $270.36
80048 Basic metabolic panel (calcium, ionized) <1% 646 $257.86
83880 <1% 48 $219.31
84443 Thyroid stimulating hormone (TSH) <1% 186 $192.15
87641 <1% 514 $187.80
85027 <1% 287 $132.21
87581 <1% 19 $85.50
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 19 $85.50
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 21 $85.50
83735 <1% 179 $76.48
81001 <1% 688 $72.87
80076 <1% 54 $52.16
84439 <1% 88 $33.12
87150 <1% 557 $28.01
82248 <1% 30 $24.06
84134 <1% 74 $23.91
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 83 $22.29
87086 Culture, bacterial; quantitative colony count, urine <1% 49 $19.66
84153 <1% 20 $16.06
80177 <1% 15 $10.57
84481 <1% 31 $7.40
87186 <1% 20 $7.27
87563 0% 51 $0.00
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% 26 $0.00
36415 Collection of venous blood by venipuncture 0% 4,679 $0.00
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 0% 375 $0.00
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 0% 3,089 $0.00
80363 0% 89 $0.00
87088 0% 23 $0.00
87507 0% 19 $0.00
80350 0% 20 $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 officialLAWTON, PATRICK (CORPORATE CONTROLLER)
Same official

Other billing entities under LAWTON, PATRICK

Full network →
ProviderLocationPaid
Synapse Analytical Labs LLCRaleigh, NC$2.16M

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