Lab
Rocky Mountain Tox, LLC
Rocky Mountain Tox, LLC was paid $236K by Medicaid between Jan 2018 and May 2020, across 5 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 84% of everything it billed.
33Billing provider infoROCKY MOUNTAIN TOX, LLC
AURORA, CO 80011
AURORA, CO 80011
33aNPI1710966460assigned 01/11/2006
33bProvider typeClinical Medical Laboratory
28Total paid$236K
24GClaims17,599
24DCodes billed5
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Clinical Medical Laboratory providers in Colorado
Rank by total paid#33 of 91
Median peer was paid$53K
This provider vs. median4.4×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,657 | $114K | |
| 2019 | 9,405 | $117K | |
| 2020 | 537 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 84% | 13,054 | 3,260 | $198K |
| 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 | 7.5% | 909 | 306 | $18K |
| 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 | 6.2% | 121 | 117 | $15K |
| 80348 | 1.8% | 883 | 302 | $4K | |
| 82945 | <1% | 2,632 | 468 | $2K |
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 officialFREEMAN, SYLVIA (MGR OF CREDENTIALING/ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| Regional Toxicology Services, LLC | Tacoma, WA | $60.35M |
| American Forensic Toxicology Services LLC | Huntington, NY | $33.21M |
| Secon of New England LLC | Worcester, MA | $8.88M |
| Technical Resource Management LLC | Indianapolis, IN | $119.72 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.