This provider's $11.8M in total Medicare payments ranks in the 92th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 715% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 741% in 2015
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $50.47 | $21.38 | 2.36x | $29.09 | $170.3K | 7.7K | 6.4K |
| 2015 | $50.47 | $21.33 | 2.37x | $29.14 | $1.4M | 69.7K | 39.6K |
| 2016 | $150.08 | $71.46 | 2.10x | $78.62 | $704.3K | 8.2K | 6.2K |
| 2017 | $245.25 | $139.23 | 1.76x | $106.02 | $405.3K | 2.8K | 2.0K |
| 2018 | $350.07 | $165.06 | 2.12x | $185.01 | $1.3M | 7.3K | 4.1K |
| 2019 | $350.11 | $163.21 | 2.15x | $186.90 | $2.3M | 11.8K | 4.6K |
| 2020 | $320.10 | $151.59 | 2.11x | $168.51 | $2.0M | 9.1K | 2.8K |
| 2021 | $184.58 | $102.41 | 1.80x | $82.17 | $1.3M | 7.1K | 3.0K |
| 2022 | $250.42 | $118.96 | 2.11x | $131.46 | $888.5K | 4.5K | 2.4K |
| 2023 | $113.44 | $61.94 | 1.83x | $51.50 | $1.4M | 7.9K | 3.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0483 | 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 | 25.1K | $6.1M | $243.42 | 2.73x |
| G0482 | Drug test def 15-21 classes | 15.3K | $2.9M | $191.29 | 1.74x |
| 80307 | Testing for presence of drug | 10.3K | $681.4K | $66.20 | 2.39x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 3.5K | $337.5K | $97.01 | 1.33x |
| 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 | 2.7K | $213.3K | $77.66 | 2.04x |
| 83789 | Mass spectrometry (laboratory testing method) | 4.9K | $119.0K | $24.10 | 2.66x |
| 82542 | Chemical analysis using chromatography technique | 4.9K | $118.1K | $24.10 | 2.24x |
| 83992 | PCP drug level | 5.1K | $99.5K | $19.61 | 2.35x |
| G0481 | Drug test def 8-14 classes | 760 | $96.5K | $126.94 | 1.94x |
| G6056 | Opiate(s), drug and metabolites, each procedure | 3.7K | $96.4K | $25.95 | 2.31x |
| G6031 | Benzodiazepines | 3.7K | $89.5K | $24.38 | 1.85x |
| G6042 | Amphetamine or methamphetamine | 3.7K | $77.1K | $20.73 | 2.32x |
| G6046 | Dihydromorphinone | 3.7K | $74.8K | $20.15 | 3.97x |
| G6032 | Desipramine | 3.7K | $74.1K | $20.15 | 3.18x |
| G6053 | Methadone | 3.7K | $74.0K | $20.15 | 2.53x |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 873 | $72.3K | $82.84 | 2.41x |
| G6045 | Dihydrocodeinone | 3.7K | $71.9K | $19.36 | 3.31x |
| G6037 | Nortriptyline | 3.7K | $66.5K | $18.07 | 2.71x |
| G6044 | Cocaine or metabolite | 3.7K | $65.2K | $17.57 | 2.68x |
| G6052 | Meprobamate | 3.7K | $62.6K | $17.06 | 3.22x |
This provider submits charges 2.39 times higher than what Medicare actually pays.
A markup ratio of 2.39x means for every $100 Medicare pays, this provider initially charges $239. This is higher than the national average.
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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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