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Methodology•Download Data
  1. Home
  2. Providers
  3. Medical Tox Labs, Llc
🔬
Organization

Medical Tox Labs, Llc

NPI: 1285045153
Tampa, FL
9 years of data
Clinical Laboratory
$20.3M
Total Payments
50.2K
Beneficiaries
112.8K
Services
18.53x
Markup Ratio

Peer Comparison

95th
percentile in specialty
This provider$20.3M
Specialty median$1.9M

📋 Key Findings

1Billed $20.3M over 9 years
218.53x markup ratio (above median)
395th percentile in Clinical Laboratory by payments
4Payments surged 468% in 2016
520 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $20.3M in total Medicare payments ranks in the 95th percentile of Clinical Laboratory providers nationally.

Their average markup ratio of 18.53x is significantly above the specialty median of 3.7x.

70% of their billing comes from a single procedure code (G0483 — Drug test def 22+ classes).

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 468% in 2016

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 — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2015$296.07$31.339.45x$264.74$318.5K10.8K7.0K
2016$1.5K$65.3822.38x$1.4K$1.8M9.7K3.3K
2017$7.6K$195.2538.83x$7.4K$3.3M14.5K5.2K
2018$1.7K$154.4111.00x$1.5K$4.5M21.1K7.8K
2019$1.3K$153.118.25x$1.1K$4.3M23.7K9.8K
2020$1.3K$154.468.19x$1.1K$2.5M13.0K6.1K
2021$1.3K$155.758.10x$1.1K$2.0M10.9K6.1K
2022$1.3K$153.908.20x$1.1K$1.5M8.6K4.6K
2023$1.4K$175.598.16x$1.3K$80.8K414372

Top Procedures (20)

G0483Drug test def 22+ classes⚠ 21.6x markup
$14.2M
59.9K services$236.79/svc21.55x markup
G0482Drug 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⚠ 14.6x markup
$2.7M
13.6K services$196.20/svc14.60x markup
G0480Drug test def 1-7 classes⚠ 8.1x markup
$1.7M
14.8K services$112.72/svc8.07x markup
G0481Drug 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⚠ 11.3x markup
$1.1M
6.8K services$154.34/svc11.26x markup
80307Testing for presence of drug⚠ 8.7x markup
$375.9K
5.7K services$65.44/svc8.68x markup
81241Gene analysis (coagulation factor V) Leiden variant⚠ 5.2x markup
$61.7K
757 services$81.51/svc5.21x 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⚠ 12.6x markup
$55.3K
717 services$77.14/svc12.58x markup
81240Gene analysis (prothrombin, coagulation factor II) A variant⚠ 6.5x markup
$49.7K
757 services$65.63/svc6.48x markup
81291Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants⚠ 7.3x markup
$44.1K
758 services$58.22/svc7.30x markup
G6053Methadone⚠ 11.0x markup
$33.3K
1.5K services$21.78/svc11.02x markup
G6031Benzodiazepines⚠ 9.7x markup
$31.8K
1.3K services$24.67/svc9.73x markup
G6042Amphetamine or methamphetamine⚠ 11.6x markup
$31.6K
1.5K services$20.73/svc11.58x markup
G6044Cocaine or metabolite⚠ 11.9x markup
$30.8K
1.5K services$20.21/svc11.88x markup
83992PCP drug level⚠ 12.3x markup
$30.8K
1.6K services$19.59/svc12.25x markup
G6051Flurazepam⚠ 13.3x markup
$6.8K
258 services$26.40/svc13.26x markup
G6058Drug confirmation, each procedure⚠ 13.6x markup
$6.2K
352 services$17.67/svc13.58x markup
G6052Meprobamate⚠ 12.8x markup
$6.1K
259 services$23.50/svc12.76x markup
83789Mass spectrometry (laboratory testing method)⚠ 11.3x markup
$6.0K
259 services$23.25/svc11.27x markup
G6056Opiate(s), drug and metabolites, each procedure⚠ 9.6x markup
$4.1K
157 services$25.95/svc9.57x markup
G6038Salicylate⚠ 28.5x markup
$2.5K
259 services$9.47/svc28.51x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G0483Drug test def 22+ classes59.9K$14.2M$236.7921.55x
G0482Drug 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 (an13.6K$2.7M$196.2014.60x
G0480Drug test def 1-7 classes14.8K$1.7M$112.728.07x
G0481Drug 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 (an6.8K$1.1M$154.3411.26x
80307Testing for presence of drug5.7K$375.9K$65.448.68x
81241Gene analysis (coagulation factor V) Leiden variant757$61.7K$81.515.21x
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 when717$55.3K$77.1412.58x
81240Gene analysis (prothrombin, coagulation factor II) A variant757$49.7K$65.636.48x
81291Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants758$44.1K$58.227.30x
G6053Methadone1.5K$33.3K$21.7811.02x
G6031Benzodiazepines1.3K$31.8K$24.679.73x
G6042Amphetamine or methamphetamine1.5K$31.6K$20.7311.58x
G6044Cocaine or metabolite1.5K$30.8K$20.2111.88x
83992PCP drug level1.6K$30.8K$19.5912.25x
G6051Flurazepam258$6.8K$26.4013.26x
G6058Drug confirmation, each procedure352$6.2K$17.6713.58x
G6052Meprobamate259$6.1K$23.5012.76x
83789Mass spectrometry (laboratory testing method)259$6.0K$23.2511.27x
G6056Opiate(s), drug and metabolites, each procedure157$4.1K$25.959.57x
G6038Salicylate259$2.5K$9.4728.51x

Markup Analysis

Charge-to-Payment Ratio

18.53x

This provider submits charges 18.53 times higher than what Medicare actually pays.

What This Means

A markup ratio of 18.53x means for every $100 Medicare pays, this provider initially charges $1853. This is higher than the national average.

Location

Tampa, FL

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 FL for peer comparison.

Medical Tox Labs, Llc (you)
$20.3M
Quest Diagnostics Clinical Laboratories Inc⚠️
$1.0B
Laboratory Corporation Of America⚠️
$463.1M
Quest Diagnostics Clinical Laboratories Inc⚠️
$417.1M
American Health S, Llc
$175.7M
Ameripath Florida Llc
$80.1M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Quest Diagnostics Clinical Laboratories IncTampa, FL$1.0B⚠️ Flagged
Laboratory Corporation Of AmericaTampa, FL$463.1M⚠️ Flagged
Quest Diagnostics Clinical Laboratories IncMiramar, FL$417.1M⚠️ Flagged
American Health S, LlcDavie, FL$175.7M✓ Clear
Ameripath Florida LlcPompano Beach, FL$80.1M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • 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.

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