Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Midwest Innovation Laboratory LLC

Midwest Innovation Laboratory LLC was paid $1.39M by Medicaid between Jul 2020 and Dec 2024, across 46 billing codes. Its largest line is 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 — 42% of everything it billed.

33Billing provider infoMIDWEST INNOVATION LABORATORY LLC
SAINT LOUIS, MO 63141
33aNPI1942825633assigned 06/09/2020
28Total paid$1.39M
24GClaims68,965
24DCodes billed46
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Missouri

Rank by total paid#13 of 61
Median peer was paid$85K
This provider vs. median16×

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$20K$40K$60K2018201920202021202220232024
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
20204,800$140K
202120,819$497K
202213,423$326K
202314,861$252K
2024incomplete15,062$173K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 42% 8,962 8,156 $579K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 26% 9,397 8,229 $368K
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 5.8% 1,291 1,168 $81K
84443 Thyroid stimulating hormone (TSH) 3.9% 4,988 4,582 $54K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3.6% 3,582 3,349 $49K
80053 Comprehensive metabolic panel 3.4% 6,933 6,364 $47K
80061 Lipid panel 2.9% 5,565 5,141 $40K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.4% 7,241 6,581 $33K
83036 Hemoglobin; glycosylated (A1C) 1.8% 4,295 3,970 $24K
82607 1.5% 2,081 1,938 $20K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 561 512 $11K
84436 <1% 2,216 2,062 $11K
34 more codes
80050 General health panel <1% 273 $10K
84479 <1% 1,655 $8K
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 534 $7K
84439 <1% 1,133 $6K
82728 <1% 947 $6K
84550 <1% 1,418 $5K
81001 <1% 1,553 $4K
84480 <1% 406 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 48 $2K
36415 Collection of venous blood by venipuncture <1% 769 $2K
82746 <1% 244 $2K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 27 $2K
80074 <1% 75 $2K
83540 <1% 415 $2K
85045 <1% 458 $1K
84481 <1% 96 $936.37
83550 <1% 145 $819.37
84146 <1% 64 $713.38
82043 <1% 208 $663.43
86431 <1% 168 $626.42
84403 <1% 42 $617.39
85027 <1% 163 $610.26
86803 <1% 45 $406.13
86592 <1% 147 $377.34
83735 <1% 90 $359.99
85652 <1% 164 $334.23
80164 <1% 55 $328.29
86141 <1% 39 $294.24
80048 Basic metabolic panel (calcium, ionized) <1% 269 $291.75
82570 <1% 64 $247.56
81003 <1% 58 $110.61
80178 <1% 19 $63.36
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge <1% 22 $25.44
87086 Culture, bacterial; quantitative colony count, urine <1% 40 $6.45

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 officialKATARIWALA, FAREED (CEO)