OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Realtox Labs, Llc
๐Ÿ”ฌ
Organization

Realtox Labs, Llc

NPI: 1235533779
Reisterstown, MD
10 years of data
Clinical Laboratory
$53.6M
Total Payments
145
Beneficiaries
999.9K
Services
3.17x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$53.6M
Specialty median$1.9M
Rank #149 of 232 in specialty

๐Ÿ“‹ Key Findings

1Billed $53.6M over 10 years
23.17x markup ratio (above median)
398th percentile in Clinical Laboratory by payments
4Payments surged 4887% in 2015
54 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $53.6M in total Medicare payments ranks in the 98th percentile of Clinical Laboratory providers nationally.

Medicare payments to this provider grew 25127% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 4887% in 2015

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$51.39$23.802.16x$27.59$26.3K1.1K5
2015$55.06$25.572.15x$29.49$1.3M51.3K10
2016$992.58$160.436.19x$832.15$3.2M20.0K2
2017$1.1K$178.706.14x$918.81$5.4M30.5K5
2018$273.74$71.093.85x$202.65$5.4M75.8K16
2019$140.02$55.022.54x$85.00$9.0M163.7K23
2020$131.90$53.472.47x$78.43$7.5M139.5K18
2021$126.69$47.222.68x$79.47$7.2M152.2K19
2022$98.48$43.262.28x$55.22$8.0M183.8K24
2023$79.64$36.422.19x$43.22$6.6M182.0K23

Top Procedures (20)

G0483Drug 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/msโš  6.8x markup
$11.7M
49.3K services$237.01/svc6.81x markup
87798Detection test by nucleic acid for organism, amplified probe technique
$7.5M
212.5K services$35.13/svc1.69x markup
U0003Infectious 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
$4.8M
62.4K services$77.04/svc1.99x markup
87799Detection test by nucleic acid for organism, quantification
$4.3M
95.9K services$44.92/svc1.57x markup
87481Detection test for candida species (yeast), amplified probe technique
$3.6M
100.7K services$35.47/svc1.67x markup
87632Detection test for multiple types of respiratory virus
$2.4M
10.9K services$223.38/svc1.57x markup
G0482Drug 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/msโš  6.8x markup
$1.9M
9.7K services$196.91/svc6.79x markup
87482Detection test for candida species (yeast), quantification
$1.8M
32.1K services$55.14/svc1.47x markup
87640Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique
$1.6M
43.7K services$36.17/svc1.62x markup
87653Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique
$1.5M
43.0K services$36.07/svc1.62x markup
87652Detection test by nucleic acid for strep (streptococcus, group a), quantification
$1.4M
31.4K services$43.74/svc1.57x markup
U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within
$1.4M
55.1K services$24.83/svc2.01x markup
87900Infectious agent drug susceptibility analysis
$1.3M
8.6K services$148.68/svc1.35x markup
80307Testing for presence of drug, by chemistry analyzers
$1.2M
15.8K services$74.40/svc2.22x markup
G0481Drug 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/msโš  7.2x markup
$1.1M
7.1K services$155.19/svc7.15x markup
87497Detection test by nucleic acid for cytomegalovirus, quantification
$992.3K
22.9K services$43.38/svc1.73x markup
87186Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution
$752.5K
82.3K services$9.14/svc1.46x markup
G0479Drug 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
$589.0K
7.6K services$77.66/svc2.00x markup
G0480Drug 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/msโš  7.4x markup
$577.6K
5.1K services$112.32/svc7.42x markup
87651Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique
$424.2K
12.2K services$34.69/svc1.71x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G0483Drug 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/ms49.3K$11.7M$237.016.81x
87798Detection test by nucleic acid for organism, amplified probe technique212.5K$7.5M$35.131.69x
U0003Infectious 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-r62.4K$4.8M$77.041.99x
87799Detection test by nucleic acid for organism, quantification95.9K$4.3M$44.921.57x
87481Detection test for candida species (yeast), amplified probe technique100.7K$3.6M$35.471.67x
87632Detection test for multiple types of respiratory virus10.9K$2.4M$223.381.57x
G0482Drug 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/ms9.7K$1.9M$196.916.79x
87482Detection test for candida species (yeast), quantification32.1K$1.8M$55.141.47x
87640Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique43.7K$1.6M$36.171.62x
87653Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique43.0K$1.5M$36.071.62x
87652Detection test by nucleic acid for strep (streptococcus, group a), quantification31.4K$1.4M$43.741.57x
U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within55.1K$1.4M$24.832.01x
87900Infectious agent drug susceptibility analysis8.6K$1.3M$148.681.35x
80307Testing for presence of drug, by chemistry analyzers15.8K$1.2M$74.402.22x
G0481Drug 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/ms7.1K$1.1M$155.197.15x
87497Detection test by nucleic acid for cytomegalovirus, quantification22.9K$992.3K$43.381.73x
87186Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution82.3K$752.5K$9.141.46x
G0479Drug 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 when7.6K$589.0K$77.662.00x
G0480Drug 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/ms5.1K$577.6K$112.327.42x
87651Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique12.2K$424.2K$34.691.71x

Markup Analysis

Charge-to-Payment Ratio

3.17x

This provider submits charges 3.17 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.17x means for every $100 Medicare pays, this provider initially charges $317. This is higher than the national average.

Location

Reisterstown, MD

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Clinical Laboratory providers in MD for peer comparison.

Realtox Labs, Llc (you)
$53.6M
Quest Diagnostics Incorporated Mdโš ๏ธ
$318.4M
Genedx Llc
$67.3M
Theranostix Inc
$61.4M
Cirrus Dx, Inc.
$37.3M
Meritus Medical Laboratory Llc
$35.9M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Quest Diagnostics Incorporated MdBaltimore, MD$318.4Mโš ๏ธ Flagged
Genedx LlcGaithersburg, MD$67.3Mโœ“ Clear
Theranostix IncBeltsville, MD$61.4Mโœ“ Clear
Cirrus Dx, Inc.Rockville, MD$37.3Mโœ“ Clear
Meritus Medical Laboratory LlcHagerstown, MD$35.9Mโœ“ Clear

Related

Browse
โ† Back to Provider Directory
State
All providers in MD โ†’
Specialty
All Clinical Laboratory providers โ†’
Tool
Compare this provider โ†’
Analysis
Fraud Watchlist โ†’
Search
Search all providers โ†’

Share This Provider

Share this provider's Medicare payment information

Share:

Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data