This provider's $64.3M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 5594% from 2014 to 2023.
60% of their billing comes from a single procedure code (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).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 5464% 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 | $51.26 | $17.79 | 2.88x | $33.47 | $126.5K | 7.1K | 15 |
| 2015 | $54.00 | $21.84 | 2.47x | $32.16 | $7.0M | 322.3K | 27 |
| 2016 | $414.98 | $202.91 | 2.05x | $212.07 | $4.1M | 20.0K | 5 |
| 2017 | $333.61 | $130.48 | 2.56x | $203.13 | $4.2M | 32.5K | 42 |
| 2018 | $141.01 | $55.15 | 2.56x | $85.86 | $7.7M | 140.4K | 70 |
| 2019 | $133.04 | $50.21 | 2.65x | $82.83 | $8.9M | 177.8K | 75 |
| 2020 | $101.82 | $37.22 | 2.74x | $64.60 | $8.3M | 222.4K | 91 |
| 2021 | $58.74 | $21.57 | 2.72x | $37.17 | $8.5M | 391.8K | 89 |
| 2022 | $53.19 | $19.20 | 2.77x | $33.99 | $8.3M | 430.3K | 96 |
| 2023 | $45.29 | $17.72 | 2.56x | $27.57 | $7.2M | 406.5K | 95 |
| 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 | 126.0K | $30.1M | $239.15 | 2.51x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 62.1K | $4.0M | $64.39 | 2.74x |
| G0482 | 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 | 16.1K | $3.1M | $193.95 | 2.54x |
| 83970 | Parathormone (parathyroid hormone) level | 26.1K | $1.1M | $42.84 | 2.81x |
| 82306 | Vitamin d-3 level | 34.6K | $1.0M | $30.36 | 2.83x |
| G0480 | 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 | 9.1K | $1.0M | $113.50 | 2.55x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 52.9K | $910.6K | $17.22 | 2.83x |
| G6056 | Opiate(s), drug and metabolites, each procedure | 34.0K | $882.7K | $25.95 | 2.51x |
| 84270 | Sex hormone binding globulin (protein) level | 33.0K | $742.0K | $22.50 | 2.83x |
| 82670 | Measurement of total estradiol (hormone) | 25.2K | $737.7K | $29.31 | 2.84x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 47.1K | $729.3K | $15.47 | 2.83x |
| 84403 | Testosterone (hormone) level, total | 25.9K | $700.1K | $27.07 | 2.84x |
| 80053 | Blood test, comprehensive group of blood chemicals | 64.6K | $699.1K | $10.81 | 2.83x |
| 82627 | Dehydroepiandrosterone (dhea-s) hormone level | 29.9K | $691.5K | $23.09 | 2.81x |
| 84481 | Thyroid hormone, t3 measurement, free | 37.0K | $647.3K | $17.51 | 2.82x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 47.2K | $644.7K | $13.65 | 2.84x |
| 84305 | Somatomedin (growth factor) level | 26.9K | $594.3K | $22.06 | 2.82x |
| 82747 | Folic acid level, rbc | 30.1K | $551.6K | $18.34 | 2.87x |
| 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 | 3.5K | $537.2K | $151.59 | 2.53x |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 508.3K | $529.0K | $1.04 | 2.62x |
This provider submits charges 2.6 times higher than what Medicare actually pays.
A markup ratio of 2.6x means for every $100 Medicare pays, this provider initially charges $260. 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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