Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Appalachian Labs of WV LLC

Appalachian Labs of WV LLC was paid $10.99M by Medicaid between Dec 2019 and Dec 2024, across 45 billing codes. Its largest line is 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 — 55% of everything it billed.

33Billing provider infoAPPALACHIAN LABS OF WV LLC
CHARLESTON, WV 25302
33aNPI1831674084assigned 10/03/2018
28Total paid$10.99M
24GClaims244,364
24DCodes billed45
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in West Virginia

Rank by total paid#4 of 36
Median peer was paid$61K
This provider vs. median180×

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$200K$400K$600K2018201920202021202220232024
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
201924$104.74
20203,895$121K
202152,262$2.31M
202242,767$2.18M
202370,443$3.00M
2024incomplete74,973$3.38M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 55% 116,772 51,532 $6.05M
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% 71,619 39,343 $3.95M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.0% 7,104 3,758 $221K
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 1.5% 3,905 2,550 $160K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 1.3% 1,630 1,372 $145K
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% 3,686 2,015 $49K
87529 <1% 1,359 1,235 $47K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 2,461 2,134 $30K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,359 1,235 $26K
87511 <1% 1,359 1,235 $26K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,359 1,235 $26K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,359 1,235 $26K
33 more codes
87481 <1% 297 $25K
86803 <1% 2,513 $18K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,202 $16K
84443 Thyroid stimulating hormone (TSH) <1% 2,651 $15K
86317 <1% 1,945 $14K
80053 Comprehensive metabolic panel <1% 3,369 $14K
80050 General health panel <1% 473 $13K
87340 <1% 2,386 $12K
80061 Lipid panel <1% 1,839 $12K
86708 <1% 1,974 $12K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,114 $9K
83036 Hemoglobin; glycosylated (A1C) <1% 1,696 $9K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 375 $7K
87500 <1% 301 $5K
87641 <1% 301 $5K
87653 <1% 297 $5K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 141 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 133 $5K
86592 <1% 2,193 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 91 $4K
84439 <1% 935 $4K
82607 <1% 479 $3K
83735 <1% 770 $2K
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% 141 $2K
87640 <1% 108 $2K
81025 <1% 333 $1K
84481 <1% 108 $754.80
83540 <1% 104 $328.68
82728 <1% 49 $288.02
84480 <1% 30 $232.16
82746 <1% 15 $118.57
84436 <1% 14 $57.92
81001 <1% 15 $16.74

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 officialREDDY, JOSEPH (PARTNER)
Same official

Other billing entities under REDDY, JOSEPH

Full network →
ProviderLocationPaid
Advanced Endoscopy ConsultantsSantee, CA$778K

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