Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Bluewater Toxicology LLC

Bluewater Toxicology LLC was paid $28.14M by Medicaid between Jan 2018 and Jan 2023, across 150 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 — 22% of everything it billed.

33Billing provider infoBLUEWATER TOXICOLOGY LLC
MT WASHINGTON, KY 40047
33aNPI1093140618assigned 09/13/2013
28Total paid$28.14M
24GClaims1,109,277
24DCodes billed150
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers

Next to other Clinical Medical Laboratory providers in Kentucky

Rank by total paid#5 of 73
Median peer was paid$95K
This provider vs. median296×

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$500K$1.0M$1.5M2018201920202021202220232024
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
201889,119$3.26M
2019326,180$11.64M
2020227,925$6.01M
2021224,843$3.88M
2022238,677$3.29M
20232,533$60K
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 22% 69,731 29,213 $6.29M
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 15% 110,419 61,651 $4.30M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 12% 118,726 56,462 $3.33M
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 12% 26,916 18,455 $3.33M
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 8.1% 30,581 19,469 $2.27M
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 6.5% 51,645 25,506 $1.84M
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3.3% 82,713 49,371 $923K
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 2.7% 66,656 31,587 $755K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2.5% 38,798 34,272 $696K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2.5% 38,876 34,318 $692K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 2.4% 37,901 33,574 $686K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1.3% 29,123 25,898 $355K
138 more codes
80074 <1% 17,248 $240K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 18,618 $232K
87522 Neg quan hep c or qual rna <1% 9,108 $221K
84443 Thyroid stimulating hormone (TSH) <1% 18,662 $168K
80053 Comprehensive metabolic panel <1% 27,180 $152K
86780 <1% 22,256 $137K
86480 <1% 7,402 $126K
84481 <1% 15,658 $125K
82607 <1% 18,030 $122K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 27,166 $115K
86803 <1% 12,485 $106K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 4,169 $93K
80050 General health panel <1% 6,131 $86K
86705 <1% 11,557 $85K
86709 <1% 11,208 $77K
87341 <1% 11,530 $76K
86704 <1% 9,213 $59K
84436 <1% 15,038 $49K
86708 <1% 5,612 $44K
80061 Lipid panel <1% 6,896 $38K
84439 <1% 6,546 $34K
87521 Neg quan hep c or qual rna <1% 2,303 $27K
86706 <1% 4,181 $20K
83036 Hemoglobin; glycosylated (A1C) <1% 5,775 $17K
82746 <1% 2,136 $16K
82248 <1% 8,388 $15K
84480 <1% 1,791 $15K
36415 Collection of venous blood by venipuncture <1% 19,952 $11K
82728 <1% 1,829 $10K
80361 <1% 3,627 $8K
87340 <1% 2,208 $7K
86376 <1% 1,017 $7K
84403 <1% 421 $5K
80346 <1% 1,855 $5K
81025 <1% 1,185 $5K
83992 <1% 2,963 $5K
80323 <1% 3,290 $4K
87902 <1% 34 $4K
80356 <1% 3,615 $4K
80365 <1% 3,607 $4K
80372 <1% 2,415 $4K
83735 <1% 1,169 $3K
80373 <1% 2,016 $3K
80364 <1% 1,720 $3K
80353 <1% 2,866 $3K
80359 <1% 2,932 $3K
80360 <1% 3,053 $3K
80349 <1% 2,846 $3K
80371 <1% 3,068 $3K
80367 <1% 2,083 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 34 $3K
80325 <1% 2,820 $3K
80348 <1% 2,365 $3K
80354 <1% 2,221 $3K
80358 <1% 2,195 $3K
86038 <1% 450 $3K
80355 <1% 1,897 $3K
83704 <1% 124 $2K
80362 <1% 1,366 $2K
83540 <1% 760 $2K
80366 <1% 1,268 $2K
86593 <1% 1,274 $2K
80368 <1% 960 $2K
80370 <1% 1,107 $2K
80333 <1% 999 $1K
82670 <1% 204 $1K
84153 <1% 122 $1K
86431 <1% 521 $1K
83001 <1% 130 $1K
82627 <1% 87 $1K
80335 <1% 808 $1K
84702 <1% 209 $1K
80357 <1% 1,060 $1K
81596 <1% 233 $1K
86140 <1% 536 $1K
84270 <1% 88 $1K
80076 <1% 679 $1K
84146 <1% 71 $1K
84154 <1% 85 $955.11
82533 <1% 71 $901.90
80345 <1% 888 $870.32
84445 <1% 39 $854.34
84144 <1% 63 $795.91
86592 <1% 310 $767.14
84466 <1% 67 $696.32
85651 <1% 344 $682.97
83550 <1% 215 $681.02
86147 <1% 15 $678.70
84402 <1% 39 $664.89
80324 <1% 402 $521.54
87086 Culture, bacterial; quantitative colony count, urine <1% 173 $507.19
83690 <1% 145 $378.78
80363 <1% 274 $363.16
82150 <1% 145 $361.13
83921 <1% 29 $256.93
86696 <1% 19 $224.66
83721 <1% 818 $186.07
85610 <1% 701 $178.92
83090 <1% 16 $170.82
85597 <1% 15 $159.74
85652 <1% 156 $158.08
86695 <1% 19 $153.05
86850 <1% 37 $143.18
84550 <1% 58 $141.77
85306 <1% 15 $136.21
85303 <1% 15 $122.99
82043 <1% 32 $111.31
85300 <1% 15 $105.35
80048 Basic metabolic panel (calcium, ionized) <1% 16 $94.69
85007 <1% 158 $91.53
80369 <1% 35 $90.19
80321 <1% 58 $86.31
85613 <1% 15 $85.19
86900 <1% 40 $69.95
86901 <1% 39 $67.74
80320 <1% 83 $59.73
81001 <1% 27 $55.64
85730 <1% 242 $50.44
80069 <1% 14 $48.58
84703 <1% 14 $44.78
0031A <1% 25 $40.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 13 $25.35
J0475 Injection, baclofen, 10 mg <1% 22 $20.00
82947 <1% 13 $18.44
80322 <1% 40 $18.24
0054A 0% 12 $0.00
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 0% 16 $0.00
0004A 0% 31 $0.00
81241 0% 12 $0.00
91300 0% 35 $0.00
80338 0% 68 $0.00
0064A 0% 95 $0.00
0001A 0% 15 $0.00
82950 0% 12 $0.00
91306 0% 50 $0.00
91303 0% 24 $0.00
80374 0% 69 $0.00
91301 0% 33 $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 officialBOLUS, JENNIFER (MANAGING PARTNER)