Equaltox, LLC
Equaltox, LLC was paid $7.28M by Medicaid between Jan 2018 and Nov 2024, across 52 billing codes. Its largest line is 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 — 71% of everything it billed.
SANTA ANA, CA 92705
Next to other Clinical Medical Laboratory providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 945 | $144K | |
| 2019 | 2,557 | $371K | |
| 2020 | 23,536 | $904K | |
| 2021 | 32,592 | $1.47M | |
| 2022 | 30,552 | $1.31M | |
| 2023 | 21,066 | $1.31M | |
| 2024incomplete | 26,773 | $1.78M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 71% | 36,591 | 16,980 | $5.15M |
| 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 | 13% | 13,177 | 11,501 | $912K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 3.7% | 8,337 | 4,020 | $266K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 3.4% | 12,913 | 11,192 | $247K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,583 | 812 | $71K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 3,153 | 3,134 | $58K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,588 | 3,354 | $55K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 2,003 | 1,899 | $48K |
| 84403 | <1% | 1,867 | 1,864 | $32K | |
| 82728 | <1% | 2,873 | 2,868 | $32K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 2,973 | 2,955 | $31K |
| 80061 | Lipid panel | <1% | 3,049 | 3,018 | $29K |
40 more codes
| 84439 | <1% | 3,061 | $24K | |
| 82670 | <1% | 1,318 | $24K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,307 | $24K |
| 80053 | Comprehensive metabolic panel | <1% | 3,032 | $24K |
| 84480 | <1% | 1,892 | $21K | |
| 82747 | <1% | 2,014 | $20K | |
| 84144 | <1% | 1,297 | $18K | |
| 86141 | <1% | 1,978 | $18K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 652 | $17K |
| 83540 | <1% | 3,010 | $15K | |
| 83735 | <1% | 2,989 | $14K | |
| 82043 | <1% | 2,047 | $14K | |
| 84100 | <1% | 3,058 | $13K | |
| 86430 | <1% | 1,958 | $13K | |
| 84550 | <1% | 2,087 | $12K | |
| 82150 | <1% | 1,974 | $10K | |
| 80050 | General health panel | <1% | 701 | $8K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 445 | $8K |
| 86592 | <1% | 2,379 | $7K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 77 | $6K |
| 81003 | <1% | 477 | $6K | |
| 83550 | <1% | 858 | $5K | |
| 84436 | <1% | 676 | $5K | |
| 84702 | <1% | 435 | $5K | |
| 82607 | <1% | 556 | $4K | |
| 85652 | <1% | 2,007 | $4K | |
| 86762 | <1% | 305 | $3K | |
| 87340 | <1% | 334 | $3K | |
| 84153 | <1% | 103 | $1K | |
| 85045 | <1% | 373 | $1K | |
| 83001 | <1% | 36 | $549.00 | |
| 80074 | <1% | 13 | $418.32 | |
| 82947 | <1% | 121 | $357.69 | |
| 82570 | <1% | 201 | $263.67 | |
| 86803 | <1% | 19 | $223.92 | |
| 86705 | <1% | 20 | $195.13 | |
| 86709 | <1% | 20 | $186.39 | |
| 84146 | <1% | 36 | $148.04 | |
| 81001 | 0% | 12 | $0.00 | |
| 83002 | 0% | 36 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Meiheir Medical Group, PC | Inglewood, CA | $16K |
| Scergon Medical Group Limited, Apc | Inglewood, CA | $286.15 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.