Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Regional Toxicology Services, LLC

Regional Toxicology Services, LLC was paid $60.35M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 41% of everything it billed.

33Billing provider infoREGIONAL TOXICOLOGY SERVICES, LLC
TACOMA, WA 98421
33aNPI1821092297assigned 06/13/2005
28Total paid$60.35M
24GClaims2,167,827
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Washington

Rank by total paid#4 of 76
Median peer was paid$90K
This provider vs. median667×

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$500K$1.0M$1.5M2018201920202021202220232024
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
2018285,835$8.06M
2019422,947$10.00M
2020353,259$8.66M
2021350,570$8.76M
2022328,555$9.48M
2023281,458$8.71M
2024incomplete145,203$6.69M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 41% 779,746 428,037 $24.48M
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 36% 436,161 269,602 $21.63M
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 12% 85,905 68,276 $6.98M
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 3.6% 32,285 24,254 $2.15M
80348 <1% 52,374 34,632 $366K
80346 <1% 105,309 57,308 $314K
80361 <1% 89,069 51,065 $310K
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% 4,552 3,269 $304K
80364 <1% 30,180 22,780 $301K
80365 <1% 81,295 46,900 $280K
80325 <1% 25,594 20,562 $273K
80356 <1% 29,659 23,538 $271K
72 more codes
80349 <1% 45,053 $246K
80358 <1% 50,901 $225K
80353 <1% 27,318 $202K
80345 <1% 13,363 $199K
80373 <1% 19,820 $198K
80323 <1% 41,033 $191K
80355 <1% 22,389 $161K
83992 <1% 10,428 $157K
80359 <1% 15,150 $149K
80354 <1% 21,969 $120K
80337 <1% 5,980 $92K
80371 <1% 5,745 $70K
80360 <1% 19,271 $65K
80352 <1% 6,306 $62K
80368 <1% 7,266 $58K
80321 <1% 10,767 $58K
80332 <1% 7,173 $49K
80369 <1% 5,336 $43K
80372 <1% 4,477 $38K
80374 <1% 4,864 $38K
80362 <1% 11,834 $36K
80338 <1% 7,766 $31K
80366 <1% 2,874 $25K
80357 <1% 6,827 $23K
80324 <1% 8,266 $21K
80342 <1% 4,278 $19K
80320 <1% 1,500 $19K
80363 <1% 791 $12K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 371 $12K
80333 <1% 1,734 $11K
80344 <1% 1,041 $9K
80335 <1% 1,317 $8K
82570 <1% 4,737 $8K
81025 <1% 2,685 $7K
83986 <1% 4,342 $6K
84311 <1% 3,453 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 99 $4K
80339 <1% 1,699 $3K
80367 <1% 2,146 $2K
36415 Collection of venous blood by venipuncture <1% 1,001 $1K
86480 <1% 63 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 131 $1K
80336 <1% 117 $943.49
83021 <1% 132 $516.51
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 71 $481.60
80343 <1% 25 $358.68
84443 Thyroid stimulating hormone (TSH) <1% 135 $305.76
84481 <1% 60 $271.04
80061 Lipid panel <1% 100 $243.70
86704 <1% 65 $228.95
87340 <1% 59 $175.61
84439 <1% 61 $135.30
80053 Comprehensive metabolic panel <1% 144 $109.82
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 140 $96.34
80171 <1% 676 $39.44
84460 <1% 20 $15.90
84075 <1% 20 $15.54
84450 <1% 20 $15.54
82310 <1% 20 $15.48
82565 <1% 20 $15.36
82247 <1% 20 $15.06
82040 <1% 20 $14.85
82374 <1% 20 $14.64
84295 <1% 20 $14.43
84132 <1% 20 $14.28
82435 <1% 20 $13.80
84520 <1% 20 $11.85
82947 <1% 19 $11.79
84155 <1% 20 $11.01
80048 Basic metabolic panel (calcium, ionized) <1% 13 $10.15
80375 0% 33 $0.00
99080 0% 24 $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 officialFREEMAN, SYLVIA (MGR OF CREDENTIALING/ENROLLMENT)
Same official

Other billing entities under FREEMAN, SYLVIA

Full network →
ProviderLocationPaid
American Forensic Toxicology Services LLCHuntington, NY$33.21M
Secon of New England LLCWorcester, MA$8.88M
Rocky Mountain Tox, LLCAurora, CO$236K
Technical Resource Management LLCIndianapolis, IN$119.72

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.