$647.6M in total Medicare payments across 8 years
Procedure 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) received $647.6M in total Medicare payments.
Across 4.4M services, the average Medicare payment was $148.32 per service.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | YoY Change |
|---|---|---|---|
| 2016 | $71.7M | 609.7K | — |
| 2017 | $97.7M | 632.0K | +36.4% |
| 2018 | $94.4M | 621.7K | -3.5% |
| 2019 | $93.1M | 612.8K | -1.4% |
| 2020 | $78.0M | 505.8K | -16.2% |
| 2021 | $76.3M | 491.4K | -2.2% |
| 2022 | $68.8M | 448.7K | -9.8% |
| 2023 | $67.6M | 444.0K | -1.7% |
| # | Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|---|
| 1 | Laboratory Corporation Of America Holdings | Clinical Laboratory | NC | $4.6M | 30.1K | $152.72 |
| 2 | Aegis Sciences Corporation | Clinical Laboratory | TN | $3.3M | 21.5K | $152.81 |
| 3 | Millennium Health, Llc | Clinical Laboratory | CA | $2.9M | 18.8K | $152.74 |
| 4 | Laboratory Corporation Of America Holdings | Clinical Laboratory | NC | $2.2M | 14.4K | $151.56 |
| 5 | Precision Toxicology, Llc | Clinical Laboratory | CA | $1.4M | 9.0K | $152.92 |
| 6 | Med-Lake Laboratory, Llc | Clinical Laboratory | GA | $1.0M | 6.6K | $152.27 |
| 7 | Accu Reference Medical Lab, Llc | Clinical Laboratory | NJ | $885.8K | 5.8K | $153.43 |
| 8 | Ethos Holding Corp | Clinical Laboratory | KY | $843.0K | 5.5K | $153.40 |
| 9 | Paradigm Labs, Llc | Clinical Laboratory | GA | $824.7K | 5.4K | $152.19 |
| 10 | Drugscan, Inc. | Clinical Laboratory | PA | $808.2K | 5.3K | $152.83 |
| 11 | Vipul Mangal | Interventional Pain Management | MD | $795.1K | 5.2K | $152.58 |
| 12 | Mako Medical Laboratories, Llc | Clinical Laboratory | NC | $680.3K | 4.4K | $153.08 |
| 13 | Gene Tox Worldwide Llc | Clinical Laboratory | NJ | $601.0K | 3.9K | $153.44 |
| 14 | Tristan Shockley | Physical Medicine and Rehabilitation | MD | $595.4K | 3.9K | $153.46 |
| 15 | Md Spine Solutions Llc | Clinical Laboratory | NV | $527.3K | 3.5K | $152.66 |
| 16 | Forensic Fluids Laboratories Inc. | Clinical Laboratory | MI | $524.9K | 3.4K | $152.68 |
| 17 | Carenexa, Llc | Clinical Laboratory | WA | $468.8K | 3.1K | $152.12 |
| 18 | Gh Labb Llc | Clinical Laboratory | FL | $455.6K | 3.0K | $153.09 |
| 19 | Labone Llc | Clinical Laboratory | KS | $451.3K | 2.9K | $153.05 |
| 20 | Dominion Diagnostics, Llc | Clinical Laboratory | RI | $442.5K | 2.9K | $153.10 |
| 21 | Quest Diagnostics Clinical Laboratories Inc | Clinical Laboratory | GA | $432.5K | 2.8K | $151.81 |
| 22 | Tribal Diagnostics, Llc | Clinical Laboratory | OK | $428.0K | 2.8K | $152.82 |
| 23 | Genotox Laboratories Ltd | Clinical Laboratory | TX | $425.4K | 2.8K | $153.45 |
| 24 | Chemisys Laboratories, Llc | Clinical Laboratory | NJ | $374.6K | 2.4K | $153.46 |
| 25 | Compass Laboratory Services Llc | Clinical Laboratory | TN | $370.9K | 2.5K | $150.16 |
| State | Payments | Services | Providers | Avg/Provider |
|---|---|---|---|---|
| NC | $9.6M | 62.8K | 134 | $71.5K |
| CA | $6.8M | 44.6K | 52 | $131.2K |
| FL | $5.0M | 32.6K | 218 | $22.8K |
| TN | $4.5M | 29.8K | 62 | $73.2K |
| GA | $4.3M | 28.3K | 118 | $36.5K |
| MD | $4.2M | 27.5K | 104 | $40.5K |
| NJ | $4.0M | 25.9K | 61 | $64.8K |
| KY | $3.1M | 20.3K | 82 | $37.8K |
| TX | $2.7M | 17.6K | 129 | $20.9K |
| MI | $2.5M | 16.2K | 40 | $62.1K |
| PA | $2.4M | 15.4K | 63 | $37.4K |
| NV | $1.5M | 9.8K | 20 | $74.5K |
| NY | $1.5M | 9.5K | 29 | $50.1K |
| OK | $1.4M | 9.1K | 33 | $42.0K |
| AL | $1.4M | 9.1K | 39 | $35.0K |
| SC | $1.3M | 8.5K | 37 | $35.2K |
| IN | $1.2M | 7.9K | 44 | $27.1K |
| WA | $1.1M | 7.5K | 46 | $23.8K |
| MN | $983.2K | 6.5K | 65 | $15.1K |
| OH | $975.9K | 6.5K | 32 | $30.5K |
| AZ | $945.9K | 6.2K | 55 | $17.2K |
| MS | $717.0K | 5.0K | 43 | $16.7K |
| IL | $635.8K | 4.2K | 24 | $26.5K |
| MA | $623.3K | 4.1K | 21 | $29.7K |
| KS | $481.5K | 3.1K | 3 | $160.5K |
| CT | $458.2K | 3.0K | 13 | $35.2K |
| AR | $450.2K | 3.0K | 47 | $9.6K |
| RI | $446.2K | 2.9K | 2 | $223.1K |
| LA | $424.8K | 2.8K | 19 | $22.4K |
| VA | $305.3K | 2.0K | 11 | $27.8K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.