Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lab

Southwest Labs LLC

Southwest Labs LLC was paid $41.48M by Medicaid between Jan 2018 and Dec 2024, across 143 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 — 35% of everything it billed.

33Billing provider infoSOUTHWEST LABS LLC
ALBUQUERQUE, NM 87109
33aNPI1780059717assigned 12/02/2015
28Total paid$41.48M
24GClaims439,877
24DCodes billed143
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in New Mexico

Rank by total paid#2 of 11
Median peer was paid$1.26M
This provider vs. median33×

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$1.0M$2.0M2018201920202021202220232024
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
201820,700$2.15M
201927,454$3.05M
202034,548$2.86M
202150,963$3.69M
202282,064$6.30M
2023101,130$10.02M
2024incomplete123,018$13.41M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 35% 76,789 42,088 $14.68M
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 22% 19,858 18,683 $8.93M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 8.9% 67,936 34,853 $3.70M
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 5.0% 14,200 12,217 $2.06M
87632 3.6% 6,319 6,062 $1.48M
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 3.5% 12,439 6,662 $1.46M
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 3.0% 17,905 15,493 $1.24M
87481 2.1% 15,981 15,038 $879K
87653 1.7% 20,855 19,730 $711K
87641 1.7% 20,643 19,508 $704K
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 1.7% 5,637 4,596 $703K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1.6% 19,663 18,674 $670K
131 more codes
87500 1.3% 16,331 $541K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 11,775 $396K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 11,293 $381K
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 <1% 12,153 $274K
87581 <1% 7,336 $255K
87529 <1% 7,235 $239K
87486 <1% 6,699 $237K
87541 <1% 6,262 $224K
87496 <1% 6,241 $223K
87498 <1% 6,556 $202K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,836 $176K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,001 $164K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 4,151 $138K
87563 <1% 3,944 $118K
87511 <1% 3,331 $117K
87640 <1% 2,522 $87K
80050 General health panel <1% 1,601 $63K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,217 $45K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,689 $43K
87634 <1% 476 $30K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 394 $29K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 950 $28K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 77 $28K
80061 Lipid panel <1% 2,238 $24K
84443 Thyroid stimulating hormone (TSH) <1% 1,249 $19K
87551 <1% 204 $17K
80053 Comprehensive metabolic panel <1% 1,403 $16K
83036 Hemoglobin; glycosylated (A1C) <1% 1,639 $14K
84481 <1% 854 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,627 $10K
82607 <1% 782 $10K
80074 <1% 222 $9K
84439 <1% 1,216 $8K
87507 <1% 26 $6K
86780 <1% 688 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 364 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 355 $5K
86703 <1% 442 $4K
83013 <1% 64 $4K
86803 <1% 372 $3K
80076 <1% 445 $3K
80048 Basic metabolic panel (calcium, ionized) <1% 376 $3K
84403 <1% 87 $2K
82728 <1% 126 $2K
84480 <1% 323 $2K
84152 <1% 108 $2K
80069 <1% 201 $1K
83550 <1% 143 $1K
83540 <1% 223 $1K
84436 <1% 205 $1K
86140 <1% 215 $1K
82746 <1% 100 $1K
84702 <1% 129 $1K
84402 <1% 47 $1K
82670 <1% 44 $979.79
87086 Culture, bacterial; quantitative colony count, urine <1% 144 $967.86
87522 Neg quan hep c or qual rna <1% 32 $952.22
87340 <1% 113 $895.45
85652 <1% 302 $830.91
84207 <1% 22 $697.98
83001 <1% 42 $625.89
85027 <1% 116 $600.20
87081 <1% 105 $578.17
84446 <1% 40 $577.31
82248 <1% 138 $575.58
84100 <1% 138 $552.75
81003 <1% 405 $543.99
83992 <1% 139 $523.44
86376 <1% 35 $455.00
86609 <1% 41 $429.20
86762 <1% 41 $421.70
87425 <1% 41 $399.97
87329 <1% 41 $389.83
81001 <1% 148 $384.61
86800 <1% 27 $383.67
86431 <1% 81 $382.28
84597 <1% 24 $373.66
84590 <1% 24 $316.19
86850 <1% 39 $272.45
82180 <1% 23 $269.47
86696 <1% 16 $255.69
86592 <1% 56 $241.15
84270 <1% 12 $232.92
86704 <1% 54 $224.46
86708 <1% 56 $219.12
80346 <1% 215 $218.74
80323 <1% 242 $215.27
80348 <1% 199 $200.47
80354 <1% 200 $199.93
86709 <1% 56 $199.07
80361 <1% 214 $194.08
80356 <1% 200 $193.29
80353 <1% 200 $193.25
86695 <1% 16 $174.32
80372 <1% 142 $173.84
80373 <1% 226 $170.29
80359 <1% 200 $169.73
83735 <1% 30 $169.13
80358 <1% 171 $167.17
80365 <1% 199 $163.14
86039 <1% 17 $161.49
80349 <1% 178 $161.23
85045 <1% 36 $160.22
80333 <1% 144 $155.20
86038 <1% 14 $146.40
80344 <1% 86 $136.92
83690 <1% 24 $128.83
80345 <1% 86 $121.54
83525 <1% 13 $119.37
82947 <1% 38 $117.79
80337 <1% 160 $116.76
80363 <1% 83 $108.57
80338 <1% 86 $105.02
86901 <1% 43 $94.15
86900 <1% 43 $94.15
80360 <1% 93 $74.18
82570 <1% 16 $74.08
80357 <1% 143 $73.00
82043 <1% 14 $72.24
80368 <1% 64 $62.22
80355 <1% 123 $54.11
80371 <1% 106 $53.63
80325 <1% 140 $50.82
80367 <1% 27 $20.57
80362 <1% 70 $18.60
80370 <1% 29 $9.04
80321 <1% 18 $6.63
80366 <1% 30 $6.34
80320 <1% 18 $5.04
80324 <1% 87 $2.80
80343 0% 31 $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 officialBALDWIN, EVAN (PARTNER / MEDICAL DIRECTOR)