Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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M D Toxicology Group, LLC

M D Toxicology Group, LLC was paid $130K by Medicaid between Feb 2018 and Dec 2024, across 33 billing codes. Its largest line is 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 — 30% of everything it billed.

33Billing provider infoM D TOXICOLOGY GROUP, LLC
SAN ANTONIO, TX 78247
33aNPI1518325562assigned 02/05/2016
28Total paid$130K
24GClaims16,780
24DCodes billed33
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Texas

Rank by total paid#136 of 436
Median peer was paid$17K
This provider vs. median7.6×

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$10K$15K2018201920202021202220232024
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
2018986$2K
20191,750$587.12
20201,509$4K
20213,193$61K
20222,124$36K
20231,621$7K
2024incomplete5,597$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 30% 1,257 884 $39K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 24% 1,349 1,154 $31K
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 11% 1,153 839 $14K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 10% 1,242 881 $13K
87481 7.5% 661 570 $10K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 3.8% 1,235 840 $5K
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 1.9% 1,269 1,210 $2K
87641 1.8% 628 591 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.7% 714 677 $2K
87500 1.5% 537 507 $2K
87653 1.5% 525 493 $2K
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 1.1% 38 31 $1K
21 more codes
87563 1.1% 345 $1K
87640 <1% 706 $899.44
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 <1% 1,091 $894.33
87631 <1% 240 $783.58
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,672 $512.87
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 191 $383.86
87581 <1% 240 $208.13
87486 <1% 232 $149.17
87498 <1% 232 $149.17
0001A <1% 97 $100.00
81373 0% 109 $0.00
81223 0% 112 $0.00
81400 0% 115 $0.00
81226 0% 97 $0.00
81225 0% 68 $0.00
0072A 0% 16 $0.00
0002A 0% 73 $0.00
81291 0% 120 $0.00
0071A 0% 48 $0.00
91300 0% 257 $0.00
81249 0% 111 $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 officialNICKLE, MARK (ADMINISTRATOR)