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    Radeas LLC — Billing Profile & Reimbursement Data

    NPI 1447592308 · Wake Forest, NC · Clinical Medical Laboratory

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    Radeas LLC is a clinical medical laboratory provider located in Wake Forest, North Carolina. This profile covers 34 Medicare and 128 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
    OrganizationRadeas LLC
    Address907 Gateway Commons Cir Ste 100
    CityWake Forest
    StateNC
    ZIP27587
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedMarch 19, 2013

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

    Payer SourceTotal Paid
    Medicaid$34.3M
    Medicare$6.5M

    Key Findings

    RADEAS LLC operates as a clinical medical laboratory with a clear operational focus on high-volume toxicology and drug-confirmation services; its Medicare and Medicaid top codes are dominated by definitive drug testing and presumptive screens (notably G0483, G0482 and 80307), and the code descriptors indicate the lab performs method-specific confirmatory testing with specimen validity procedures. COVID nucleic acid and antigen panels (U0004, U0005, 87635, 87811) appear in the mix but account for relatively small portions of revenue compared with toxicology services.

    Revenue concentration is acute on the Medicare side: the provider’s top 3 Medicare codes (G0483, G0482, 80307) account for 90.1% of its total Medicare revenue, driven largely by G0483 which represents $4.5M and 69.2% of its Medicare receipts. This concentration means Medicare income is heavily dependent on a small set of high-complexity toxicology codes rather than a broad laboratory portfolio.

    Medicaid revenue shows the same narrow service mix: the top 3 Medicaid codes (G0483, 80307, G0482) account for 90.6% of total Medicaid revenue, with G0483 alone contributing $23.5M (69.0% of Medicaid revenue) from 270.5K claims. The Medicaid revenue profile reinforces that the business model is centered on mass toxicology screening and confirmatory testing rather than routine clinical panels.

    Payer mix is weighted toward Medicaid in scale: reported totals are $34.3M in Medicaid revenue versus $6.5M in Medicare revenue, so the provider is effectively Medicaid-dominated in overall dollars. That skew suggests contract and rate negotiations with state Medicaid plans will have oversized influence on the organization’s financial performance compared with Medicare.

    Competitively, RADEAS is an unusually large supplier of definitive drug testing nationally and within North Carolina. On Medicare G0483 it ranks #5 of 1063 providers (100th percentile; labeled an extreme outlier) and on 80307 it ranks #22 of 4760 providers (100th percentile; extreme outlier), indicating national-level volume well above typical peers for those lab services. In Medicaid the provider’s G0483 volume ranks #2 of 113 in-state (99th percentile; extreme outlier) and 80307 ranks #5 of 362 (99th percentile), making RADEAS one of the dominant in-state performers for toxicology testing.

    The data show meaningful payer-level payment differentials that affect unit economics: for G0483 the average paid per claim is $242 on Medicare versus $87 on Medicaid, and the provider processes 18.6K G0483 Medicare claims versus 270.5K G0483 Medicaid claims. These differences imply higher per-claim reimbursement from Medicare but much larger claim volume from Medicaid, shaping cash flow and margin drivers across the two payers.

    RADEAS has been an established NPI since 2013-03-19 (~13 years ago), indicating more than a decade of operations to scale the high-volume toxicology business reflected in the claims and revenue data. That tenure combined with outsized ranks on key toxicology CPT/HCPCS suggests the organization has built significant capacity and market share for confirmatory drug testing.

    High revenue concentration in a few codes and extreme outlier volumes create exposure to policy or reimbursement changes for those specific services; with the top 3 codes accounting for 90.1% of Medicare revenue and 90.6% of Medicaid revenue, any restrictions, coding edits, or rate adjustments targeting definitive drug testing or screening could materially affect overall revenue. Analysts should monitor state Medicaid contracting and national toxicology reimbursement updates given the provider’s concentrated dependence on these code families.

    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.

    34 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…18,550$240$4.5M
    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…3,630$200$707.1K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.10,740$60$655.1K
    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…1,730$150$265.1K
    U00042019-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…2,720$70$201.3K
    U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…2,720$30$67.9K
    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…460$110$52K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…520$50$26K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…150$40$6.1K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…210$20$3.4K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G048328070$240$291.1K
    U00042102,720$70$279.3K
    U0005620310$20$158.1K
    G0481413060$150$71.5K
    G0482212080$190$40.3K
    G0480615060$110$39.6K
    803073380100$60$35.4K
    84402303080$20$33.6K
    82670244050$30$25.2K
    86038313030$10$23K

    Showing 1–10 of 34

    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.

    128 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…270,470$90$23.5M
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.174,940$30$4.5M
    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…36,770$80$2.8M
    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…34,070$40$1.4M
    U00042019-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…14,720$50$691.7K
    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…11,440$50$606.4K
    U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…12,430$20$186.4K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…3,620$30$94.2K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…680$60$38.9K
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…2,390$20$38.3K

    Showing 1–10 of 128

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. North Carolina median

    128 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…21101,450$110$1.7M
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.2240480$40$1.4M
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…3280420$30$1.2M
    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…4601,640$100$940.2K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.4970280$20$896.7K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.53601,830$40$819.8K
    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…4801,020$70$669.6K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.141190530$20$635.1K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.144190560$20$609.8K
    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…12150860$50$586.6K

    Showing 1–10 of 128

    • More pages

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wake Forest Pediatric Associates, PLLCNCPediatrics Physician$0$9.8M
    Amazing Kids Of Nc, Inc.NCCommunity/Behavioral Health Agency$0$7.5M
    Trg Health Care Systems LLCNCCommunity/Behavioral Health Agency$0$7.1M
    Elias AyliNCMOHS-Micrographic Surgery Physician$1.1M$0
    Edward GaliczynskiNCDermatology Physician$1M$0
    Patricia MatheisNCSpecialist$985.1K$0
    Francisco CastillosNCHematology & Oncology Physician$534K$0
    Duke University Health System IncNCDiagnostic Radiology Physician$150.8K$14.1K
    Daniel HenryNCPhysical Therapist$157.9K$0
    Samantha WardNCOptometrist$112.6K$0

    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. North Carolina Distribution
    Radeas LLC — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina
    Medicaid Revenue by Year vs. North Carolina Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Radeas LLC — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina