Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rxtox, INC.

Rxtox, INC. was paid $293K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 80299, — 35% of everything it billed.

33Billing provider infoRXTOX, INC.
PITTSBURGH, PA 15236
33aNPI1124277702assigned 09/18/2008
28Total paid$293K
24GClaims23,318
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Pennsylvania

Rank by total paid#39 of 95
Median peer was paid$153K
This provider vs. median1.9×

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$5.0K$10K2018201920202021202220232024
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
20182,190$55K
20191,409$29K
20201,323$14K
20215,154$52K
20225,233$54K
20234,966$58K
2024incomplete3,043$32K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
80299 35% 2,795 2,765 $103K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 20% 4,992 4,671 $60K
G0431 Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter 17% 2,991 2,960 $49K
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 13% 4,238 3,963 $39K
82570 7.0% 2,695 2,670 $21K
81003 3.0% 2,697 2,672 $9K
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 2.4% 212 207 $7K
83986 2.0% 2,698 2,673 $6K

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 officialWADHWA, SAROJ (MEDICAL DIRECTOR)