Statistical flag only — not an accusation of fraud
This provider's $419.3M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
This provider has been statistically flagged with a risk score of 68/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
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 | $71.33 | $20.28 | 3.52x | $51.05 | $57.3M | 2.8M | 28 |
| 2015 | $88.33 | $24.94 | 3.54x | $63.39 | $60.4M | 2.4M | 27 |
| 2016 | $947.34 | $114.36 | 8.28x | $832.98 | $28.2M | 246.4K | 9 |
| 2017 | $634.57 | $122.38 | 5.19x | $512.19 | $40.9M | 334.2K | 7 |
| 2018 | $554.23 | $120.64 | 4.59x | $433.59 | $48.6M | 403.0K | 8 |
| 2019 | $282.89 | $123.21 | 2.30x | $159.68 | $47.8M | 387.8K | 8 |
| 2020 | $496.83 | $130.41 | 3.81x | $366.42 | $33.1M | 253.6K | 8 |
| 2021 | $494.91 | $130.74 | 3.79x | $364.17 | $35.0M | 267.6K | 7 |
| 2022 | $506.60 | $132.30 | 3.83x | $374.30 | $33.7M | 254.5K | 9 |
| 2023 | $514.48 | $133.25 | 3.86x | $381.23 | $34.5M | 258.6K | 20 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 797.1K | $152.7M | $191.55 | 4.57x |
| 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 | 220.7K | $53.2M | $240.94 | 4.19x |
| 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 | 252.3K | $38.1M | $151.14 | 4.38x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 546.5K | $35.9M | $65.66 | 3.43x |
| 82542 | Chemical analysis using chromatography technique | 1.4M | $34.0M | $23.90 | 3.52x |
| G6056 | Opiate(s), drug and metabolites, each procedure | 621.1K | $16.0M | $25.82 | 3.29x |
| 83925 | Opiates (drug) measurement | 598.9K | $15.4M | $25.75 | 3.30x |
| 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 | 94.8K | $9.7M | $102.27 | 4.68x |
| G6031 | Benzodiazepines | 296.4K | $7.3M | $24.53 | 3.46x |
| 80154 | Benzodiazepines level | 280.1K | $6.9M | $24.49 | 3.47x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 69.9K | $6.8M | $96.70 | 2.59x |
| 82544 | Chemical analysis using chromatography technique | 261.2K | $6.2M | $23.89 | 3.56x |
| 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 | 54.5K | $4.2M | $77.34 | 3.23x |
| 83789 | Mass spectrometry (laboratory testing method) | 142.9K | $3.4M | $23.89 | 3.56x |
| G6052 | Meprobamate | 124.4K | $2.9M | $23.29 | 3.65x |
| 83805 | Meprobamate (sedative) level | 123.7K | $2.9M | $23.32 | 3.65x |
| G6053 | Methadone | 128.1K | $2.8M | $21.58 | 3.94x |
| 83840 | Methadone level | 124.8K | $2.7M | $21.62 | 3.93x |
| G6042 | Amphetamine or methamphetamine | 119.1K | $2.4M | $20.55 | 4.14x |
| 84311 | Chemical analysis using spectrophotometry (light) | 262.9K | $2.4M | $9.20 | 2.72x |
This provider submits charges 4.09 times higher than what Medicare actually pays.
A markup ratio of 4.09x means for every $100 Medicare pays, this provider initially charges $409. 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 TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Memphis Pathology Laboratory | Memphis, TN | $198.3M | ⚠️ Flagged |
| Aegis Sciences Corporation | Nashville, TN | $63.5M | ✓ Clear |
| Laboratory Corporation Of America | Knoxville, TN | $56.9M | ⚠️ Flagged |
| Compass Laboratory Services Llc | Memphis, TN | $54.7M | ✓ Clear |
| Accupath Diagnostic Laboratories Inc | Brentwood, TN | $51.8M | ✓ 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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