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NPI 1124277702 · Pittsburgh, PA · Clinical Medical Laboratory
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Rxtox, Inc. is a clinical medical laboratory provider located in Pittsburgh, Pennsylvania. This profile covers 2 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Rxtox, Inc. |
| Address | 850 Clairton Blvd |
| City | Pittsburgh |
| State | PA |
| ZIP | 15236 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | September 18, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $335.9K |
| Medicaid | $293.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,920 | $110 | $213.6K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 2,010 | $60 | $122.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 80299 | Use 80299 to report therapeutic drug quantitation procedures that do not have a specific code. | 2,800 | $40 | $103.4K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 4,990 | $10 | $59.9K |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 2,990 | $20 | $47.9K |
| 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… | 4,240 | $10 | $38.1K |
| 82570 | The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine… | 2,700 | $10 | $21.6K |
| 81003 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will… | 2,700 | $1 | $8.1K |
| 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… | 210 | $30 | $7.2K |
| 83986 | The analyst performs the technical lab test to measure the pH, meaning the acidity or alkalinity, of a body fluid not represented by another code. The analyst may use methods such as a pH meter,… | 2,700 | $1 | $5.4K |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 16 | 20 | 710 | $80 | $1.7M |
| 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… | 23 | 130 | 310 | $60 | $769.3K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 28 | 210 | 730 | $40 | $689.7K |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 1 | 10 | 2,990 | $20 | $48.9K |
| 80299 | Use 80299 to report therapeutic drug quantitation procedures that do not have a specific code. | 1 | 20 | 240 | $30 | $11.6K |
| 82570 | The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine… | 20 | 150 | 400 | $1 | $10.5K |
| 83986 | The analyst performs the technical lab test to measure the pH, meaning the acidity or alkalinity, of a body fluid not represented by another code. The analyst may use methods such as a pH meter,… | 6 | 30 | 70 | $1 | $3.5K |
| 81003 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will… | 42 | 390 | 220 | $1 | $3K |
Other providers in the same ZIP code as Rxtox, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Smile Homecare, LLC | PA | In Home Supportive Care Agency | $0 | $6.4M |
| Baldwin Emergency Medical Service | PA | Land Ambulance | $391.7K | $2.7M |
| Tri-state Mobile X-ray, Inc | PA | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | $147.8K | $0 |
| David Lockley | PA | Counseling Psychologist | $91.5K | $0 |
| Gene Manzetti | PA | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | $14.7K | $6K |
| Celeste Kepple | PA | Medical Physician Assistant | $10.4K | $0 |
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