Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lexar Laboratories & Analysis LLC

Lexar Laboratories & Analysis LLC was paid $11.58M by Medicaid between Jan 2018 and Mar 2024, across 84 billing codes. Its largest line is 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 — 32% of everything it billed.

33Billing provider infoLEXAR LABORATORIES & ANALYSIS LLC
LEXINGTON, KY 40511
33aNPI1922358126assigned 09/14/2012
28Total paid$11.58M
24GClaims436,695
24DCodes billed84
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Kentucky

Rank by total paid#11 of 73
Median peer was paid$95K
This provider vs. median122×

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$100K$200K$300K2018201920202021202220232024
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
201877,537$1.58M
2019136,124$2.25M
202070,418$1.79M
202147,016$1.74M
202236,055$1.76M
202358,460$2.08M
2024incomplete11,085$378K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 32% 60,944 38,086 $3.75M
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 15% 22,972 13,501 $1.78M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 15% 68,096 42,218 $1.71M
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 12% 26,860 18,350 $1.39M
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 8.4% 10,859 6,351 $977K
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 1.8% 5,293 4,618 $213K
87529 <1% 3,953 3,325 $112K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,382 3,115 $101K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,832 1,519 $89K
80369 <1% 11,929 7,151 $87K
80368 <1% 11,131 6,528 $67K
80365 <1% 10,764 6,798 $65K
72 more codes
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,357 $57K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 3,331 $56K
80348 <1% 11,362 $54K
80361 <1% 6,749 $54K
87563 <1% 2,959 $51K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 2,955 $51K
80362 <1% 7,960 $50K
80346 <1% 6,713 $49K
80355 <1% 10,715 $47K
80372 <1% 8,021 $46K
80366 <1% 10,032 $45K
80349 <1% 7,132 $44K
87511 <1% 2,810 $44K
80363 <1% 3,500 $38K
80324 <1% 6,018 $37K
80356 <1% 6,319 $33K
80353 <1% 5,812 $33K
80358 <1% 5,641 $33K
80354 <1% 5,378 $32K
80321 <1% 4,373 $31K
80373 <1% 5,568 $31K
87481 <1% 2,941 $30K
80359 <1% 5,555 $30K
83992 <1% 5,593 $28K
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% 1,945 $25K
80323 <1% 7,375 $21K
80360 <1% 8,248 $21K
80371 <1% 6,439 $16K
87070 <1% 3,238 $14K
80325 <1% 4,198 $12K
80336 <1% 779 $12K
87631 <1% 212 $12K
80338 <1% 2,529 $12K
80345 <1% 3,937 $10K
80364 <1% 3,015 $10K
80335 <1% 2,525 $7K
87086 Culture, bacterial; quantitative colony count, urine <1% 1,633 $7K
87186 <1% 1,034 $5K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 276 $5K
80332 <1% 1,010 $5K
87077 <1% 1,034 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 178 $5K
80337 <1% 388 $4K
80074 <1% 237 $3K
87640 <1% 202 $3K
87634 <1% 247 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 214 $3K
81025 <1% 196 $3K
84443 Thyroid stimulating hormone (TSH) <1% 187 $2K
80053 Comprehensive metabolic panel <1% 355 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 320 $1K
87501 <1% 88 $1K
87486 <1% 76 $1K
87532 <1% 76 $1K
87541 <1% 76 $1K
87581 <1% 76 $1K
80061 Lipid panel <1% 169 $1K
87503 <1% 147 $1K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 52 $935.70
80333 <1% 1,063 $837.30
87498 <1% 90 $663.13
87653 <1% 28 $536.85
83036 Hemoglobin; glycosylated (A1C) <1% 67 $394.91
36415 Collection of venous blood by venipuncture <1% 414 $342.64
80342 <1% 809 $320.41
84439 <1% 42 $218.22
84436 <1% 54 $128.15
82746 <1% 16 $116.73
83540 <1% 14 $54.60
83986 0% 857 $0.00
84311 0% 864 $0.00
82570 0% 857 $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 officialPELFREY, JENNIFER (OWNER)