Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oregon for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oregon only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oregon (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Golden Toxicology LLC (NPI 1285011403)

Golden Toxicology LLC is a clinical medical laboratory provider located in West Linn, Oregon. This profile covers 0 Medicare and 23 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Golden Toxicology LLC
Address	2020 8th Ave Ste 218
City	West Linn
State	OR
ZIP	97068
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	April 27, 2015

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,260	$90	$306.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	3,700	$60	$233K
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…	1,260	$170	$218K
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…	1,710	$60	$105.7K
80361	The 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.	440	$50	$19.6K
80362	The lab analyst measures the amount of or detects the presence of one or two opioids and opiate analogs, narcotic analgesics that depress the central nervous system, in the specimen.	440	$50	$19.6K
80346	The lab analyst measures the amount of or detects the presence of one to twelve benzodiazepines, which are tranquilizers, in a patient specimen.	440	$40	$18.7K
80357	The lab analyst measures the amount of or detects the presence of ketamine and norketamine in the patient specimen.	430	$40	$18.2K
80369	The lab analyst measures the amount of or detects the presence of one or two skeletal muscle relaxants in the patient specimen. These drugs reduce the tone of skeletal muscles and thus alleviate…	440	$40	$17.8K
80358	The lab analyst measures the amount of or detects the presence of methadone in the patient specimen.	440	$40	$16.5K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

Golden Toxicology LLC — 10 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	16	60	420	$60	$405.1K
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…	3	10	290	$90	$379.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	23	80	1,210	$40	$294.3K
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…	5	10	1,520	$100	$218.3K
80357	The lab analyst measures the amount of or detects the presence of ketamine and norketamine in the patient specimen.	1	10	430	$40	$18.2K
80369	The lab analyst measures the amount of or detects the presence of one or two skeletal muscle relaxants in the patient specimen. These drugs reduce the tone of skeletal muscles and thus alleviate…	1	10	440	$40	$17.8K
80372	The lab analyst measures the amount of or detects the presence of tapentadol, a centrally acting opioid pain medication, in the patient specimen.	1	10	440	$30	$14.3K
80335	The lab analyst measures the amount of or detects the presence of one or two tricyclic and other cyclical antidepressants, which are psychiatric medications, in a patient specimen.	1	10	420	$30	$13.9K
80373	The lab analyst measures the amount of or detects the presence of tramadol, which is a centrally acting opioid pain medication, in the patient specimen.	1	10	440	$30	$13.8K
80362	The lab analyst measures the amount of or detects the presence of one or two opioids and opiate analogs, narcotic analgesics that depress the central nervous system, in the specimen.	1	10	240	$40	$9.8K

Showing 1–10 of 23

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dermatology Solutions LLC	OR	Medical Specialty Clinic/Center	$0	$1.1M
Integrated Labs	OR	Clinical Medical Laboratory	$378.3K	$212.8K
Professional Health Care LLC	OR	Adult Health Nurse Practitioner	$94.4K	$59.2K
Michael Beauchaine	OR	Physician Assistant	$63.1K	$0

Golden Toxicology LLC — Billing Profile & Reimbursement Data

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Golden Toxicology LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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