This provider's $22.4M in total Medicare payments ranks in the 96th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 2532% from 2015 to 2023.
69% of their billing comes from a single procedure code (G0483 — Drug test def 22+ classes).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 776% in 2016
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2015 | $37.46 | $24.66 | 1.52x | $12.80 | $83.6K | 3.5K | 3.3K |
| 2016 | $481.23 | $116.16 | 4.14x | $365.07 | $731.9K | 5.1K | 2.9K |
| 2017 | $667.94 | $159.22 | 4.20x | $508.72 | $1.4M | 7.9K | 4.1K |
| 2018 | $644.56 | $154.55 | 4.17x | $490.01 | $3.2M | 19.4K | 9.4K |
| 2019 | $522.13 | $152.98 | 3.41x | $369.15 | $4.5M | 27.1K | 12.0K |
| 2020 | $468.56 | $154.52 | 3.03x | $314.04 | $4.5M | 27.3K | 10.8K |
| 2021 | $468.02 | $155.49 | 3.01x | $312.53 | $3.4M | 20.5K | 8.1K |
| 2022 | $391.33 | $153.16 | 2.56x | $238.17 | $2.4M | 15.2K | 6.6K |
| 2023 | $389.00 | $152.59 | 2.55x | $236.41 | $2.2M | 14.2K | 6.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0483 | Drug test def 22+ classes | 64.0K | $15.5M | $242.46 | 3.26x |
| 80307 | Testing for presence of drug | 51.3K | $3.3M | $63.82 | 3.32x |
| G0482 | Drug test def 15-21 classes | 12.9K | $2.5M | $195.69 | 3.31x |
| G0481 | Drug test def 8-14 classes | 4.7K | $718.7K | $153.51 | 3.44x |
| G0480 | Drug test(s), definitive, utilizing 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 (an | 1.7K | $192.6K | $112.98 | 3.21x |
| G0479 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when | 1.8K | $132.8K | $74.29 | 2.36x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 156 | $14.5K | $92.87 | 1.08x |
| G6056 | Opiate(s), drug and metabolites, each procedure | 267 | $6.9K | $25.95 | 1.16x |
| G6045 | Dihydrocodeinone | 266 | $6.5K | $24.50 | 1.02x |
| G0477 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures, (eg immunoassay) capable of being read by direct optical observation only (eg, dipsticks, cups, cards, cartridges), includes sample validation when performed, per | 420 | $5.9K | $13.96 | 7.16x |
| G6053 | Methadone | 268 | $5.8K | $21.78 | 1.15x |
| G6031 | Benzodiazepines | 182 | $4.5K | $24.67 | 1.22x |
| G6051 | Flurazepam | 182 | $4.5K | $24.50 | 1.02x |
| G6052 | Meprobamate | 181 | $4.3K | $23.50 | 2.13x |
| G6030 | Amitriptyline | 178 | $4.2K | $23.87 | 2.09x |
| G6036 | Assay of imipramine | 178 | $4.1K | $22.95 | 2.17x |
| G6032 | Desipramine | 178 | $4.1K | $22.95 | 2.17x |
| G6034 | Doxepin | 178 | $3.7K | $20.67 | 2.41x |
| G6042 | Amphetamine or methamphetamine | 176 | $3.6K | $20.73 | 1.21x |
| 83992 | PCP drug level | 176 | $3.4K | $19.60 | 1.53x |
This provider submits charges 3.27 times higher than what Medicare actually pays.
A markup ratio of 3.27x means for every $100 Medicare pays, this provider initially charges $327. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Clinical Laboratory providers in GA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Clinical Laboratories Inc | Tucker, GA | $599.2M | ⚠️ Flagged |
| Bakotic Pathology Associates, Llc | Alpharetta, GA | $87.9M | ✓ Clear |
| Clinical Laboratory Services, Inc. | Winder, GA | $60.1M | ✓ Clear |
| Lifebrite Laboratories, Llc | Brookhaven, GA | $48.1M | ✓ Clear |
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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.
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