Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ohio River Laboratories, LLC

Ohio River Laboratories, LLC was paid $1.52M by Medicaid between May 2018 and Sep 2023, across 59 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 — 59% of everything it billed.

33Billing provider infoOHIO RIVER LABORATORIES, LLC
CINCINNATI, OH 45249
33aNPI1992041214assigned 12/13/2012
28Total paid$1.52M
24GClaims72,390
24DCodes billed59
24AFirst – last monthMay 2018 – Sep 2023
Compared with peers

Next to other Clinical Medical Laboratory providers in Ohio

Rank by total paid#39 of 116
Median peer was paid$313K
This provider vs. median4.9×

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$400K2018201920202021202220232024
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
20181,243$3K
20192,566$780K
202058,641$664K
20211,908$20K
20224,429$43K
20233,603$11K
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 59% 2,372 734 $895K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 10% 5,441 3,322 $155K
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 3.3% 4,195 2,811 $51K
80346 2.1% 2,363 1,338 $32K
80361 1.8% 2,334 1,313 $28K
80362 1.8% 2,332 1,313 $28K
83992 1.3% 2,124 1,179 $20K
80321 1.2% 2,109 1,166 $18K
80355 1.0% 2,470 1,406 $16K
80366 1.0% 2,457 1,393 $16K
80348 1.0% 2,473 1,406 $16K
80325 1.0% 2,339 1,320 $15K
47 more codes
80368 1.0% 2,332 $15K
80372 1.0% 2,350 $15K
80349 1.0% 2,363 $15K
80365 1.0% 2,360 $15K
80358 1.0% 2,359 $15K
80356 1.0% 2,559 $15K
80359 1.0% 2,349 $15K
80373 1.0% 2,332 $15K
80354 1.0% 2,332 $15K
80357 1.0% 2,318 $15K
80360 1.0% 2,519 $15K
80345 <1% 2,310 $15K
80335 <1% 2,124 $15K
80353 <1% 2,162 $15K
80370 <1% 1,770 $12K
80369 <1% 411 $2K
80184 <1% 867 $2K
80367 <1% 190 $779.91
80323 <1% 190 $731.40
80324 <1% 41 $86.77
80363 <1% 55 $69.83
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 0% 202 $0.00
87641 0% 107 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 0% 69 $0.00
87631 0% 194 $0.00
87481 0% 139 $0.00
87634 0% 69 $0.00
87653 0% 139 $0.00
83516 0% 102 $0.00
82570 0% 102 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 0% 71 $0.00
87551 0% 71 $0.00
86413 0% 30 $0.00
83986 0% 102 $0.00
87581 0% 194 $0.00
87498 0% 194 $0.00
87500 0% 165 $0.00
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 0% 139 $0.00
87503 0% 69 $0.00
87561 0% 71 $0.00
87532 0% 101 $0.00
87496 0% 30 $0.00
87640 0% 137 $0.00
87541 0% 194 $0.00
87486 0% 194 $0.00
84311 0% 102 $0.00
87556 0% 101 $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 officialSHAH, MITALI (OWNER)