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    OpenPayerNPI Medicare & MedicaidChamplain Toxicology Lab, LLC
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    Champlain Toxicology Lab, LLC — Billing Profile & Reimbursement Data

    NPI 1043869068 · Plattsburgh, NY · Clinical Medical Laboratory

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    Champlain Toxicology Lab, LLC is a clinical medical laboratory provider located in Plattsburgh, New York. This profile covers 5 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationChamplain Toxicology Lab, LLC
    Address32 Veterans Ln Ste 2
    CityPlattsburgh
    StateNY
    ZIP12901
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedSeptember 11, 2019

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$269K
    Medicare$228.2K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…270$240$65.6K
    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…330$190$63.2K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.880$60$53.6K
    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…250$150$38.1K
    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…70$110$7.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0483920270$240$82.4K
    G04802330170$110$76.5K
    G048293090$190$61.8K
    G04811130150$150$50.1K
    803071112070$60$23.1K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,970$70$132.3K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.7,920$20$118.9K
    80349The lab analyst measures the amount of or detects the presence of natural cannabinoids in a patient specimen.1,860$1$5.6K
    80348The lab analyst measures the amount of or detects the presence of buprenorphine in a patient specimen. Buprenorphine is a drug used to treat opioid addiction, to control acute pain in individuals who…1,290$1$3.9K
    80365The lab analyst measures the amount of or detects the presence of oxycodone, a synthetic opioid pain medication, in a patient specimen.1,080$1$3.2K
    80361The lab analyst measures the amount of or detects the presence of one or more opiates, narcotic analgesics that depress the central nervous system, in the specimen.1,020$1$3.1K
    80324The lab analyst measures the amount of or detects the presence of one or two amphetamines, a central nervous system stimulant in a patient specimen.160$1$470
    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…20$10$90
    80353The lab analyst measures the amount of or detects the presence of cocaine in the patient specimen.10$1$20

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…32110690$50$442K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.552901,900$30$390.6K
    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…3130550$100$359.8K
    80348The lab analyst measures the amount of or detects the presence of buprenorphine in a patient specimen. Buprenorphine is a drug used to treat opioid addiction, to control acute pain in individuals who…1850460$10$37.1K
    80349The lab analyst measures the amount of or detects the presence of natural cannabinoids in a patient specimen.1340510$1$24.5K
    80365The lab analyst measures the amount of or detects the presence of oxycodone, a synthetic opioid pain medication, in a patient specimen.1140470$1$24.4K
    80324The lab analyst measures the amount of or detects the presence of one or two amphetamines, a central nervous system stimulant in a patient specimen.2440290$1$22.6K
    80361The lab analyst measures the amount of or detects the presence of one or more opiates, narcotic analgesics that depress the central nervous system, in the specimen.1550250$1$21.3K
    80353The lab analyst measures the amount of or detects the presence of cocaine in the patient specimen.4040480$1$20.3K

    Nearby Providers

    Other providers in the same ZIP code as Champlain Toxicology Lab, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Champlain Valley Physicians Hospital Medical CenterNYGeneral Acute Care Hospital$0$35.9M
    Champlain Valley Brace And Limb, L.L.C.NYDurable Medical Equipment & Medical Supplies$0$21M
    Roy ArogyasamiNYOphthalmology Physician$4.7M$1.1M
    Surgical Pain Center Of The Adirondacks, LLCNYAmbulatory Surgical Clinic/Center$930K$225.6K
    Plattsburgh Asc LLCNYAmbulatory Surgical Clinic/Center$623.9K$21.1K
    Craig HurwitzNYNephrology Physician$445K$178.5K
    Joseph RiniNYOphthalmology Physician$543K$51.2K
    Afterhours Imaging, LLCNYDiagnostic Radiology Physician$371.4K$16.4K
    Walgreen CoNYPharmacy$330.9K$0
    Richard WebberNYInternal Medicine Physician$278.6K$10.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Champlain Toxicology Lab, LLC — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Champlain Toxicology Lab, LLC — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York