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NPI 1760579825 · Winder, GA · Clinical Medical Laboratory
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Clinical Laboratory Services, Inc. is a clinical medical laboratory provider located in Winder, Georgia. This profile covers 117 Medicare and 43 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Clinical Laboratory Services, Inc. |
| Address | 189 W Athens St Ste 2-5 |
| City | Winder |
| State | GA |
| ZIP | 30680 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | October 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.2M |
| Medicaid | $1.1M |
Medicare dominates this provider’s public-payer mix: total Medicare revenue is $4.2M compared with total Medicaid revenue of $1.1M, so Medicare is the primary source of billed revenue for CLINICAL LABORATORY SERVICES, INC. This scale difference implies the lab’s operations and commercial relationships are weighted toward Medicare populations and settings.
Revenue concentration is high on Medicare: the top three Medicare codes account for 56.9% of this provider’s total Medicare revenue, led by P9603 ($1.2M), G0471 ($698.2K), and 80053 ($290.2K). These three codes tie the practice’s Medicare earnings to specimen collection/transport and routine chemistry panels rather than niche esoteric testing.
On Medicaid the top three codes account for 41.7% of Medicaid revenue, with U0003 ($186.7K), 80053 ($141.4K), and 85025 ($117K) driving the largest shares. That mix shows a material role for SARS‑CoV‑2 molecular testing alongside standard metabolic and hematology panels in the provider’s Medicaid business.
The code mix and volumes indicate a specimen-collection and community/SNF-focused operation: very high billing for P9603 (travel allowance for home- or nursing-home specimen collection) and strong G0471 volume (collection in SNF or on behalf of HHA) point to active mobile or on-site collection services. At the same time, heavy volumes in 80053, 85025, 80048, 84443, 80061, and 83036 show the lab performs routine chemistry, hematology, endocrine, lipid, and diabetic monitoring panels that are typical for a full-service clinical laboratory.
CLINICAL LABORATORY SERVICES, INC. holds above-typical national Medicare standing on several collection and routine-test codes: P9603 ranks #10 of 267 providers nationally (97th percentile; notably above typical national volume for this code) and G0471 ranks #10 of 117 providers nationally (92th percentile). Multiple chemistry and common panel codes are also at the top of national distributions (for example 80053 and 80048 are listed at the 100th percentile, with 80048 identified as an extreme outlier), underlining a nationally elevated throughput on routine testing and collection services.
State-level Medicaid competitiveness is more mixed: infectious-agent PCR (U0003) is a meaningful Medicaid revenue driver but ranks #15 of 39 providers in-state (63th percentile), while routine panels including 80053, 85025, 83036, and 80061 rank in the upper in-state percentiles (e.g., 80053 at 85th percentile and 83036 at 93th percentile). This profile suggests the lab is a strong regional supplier of routine clinical testing but not necessarily the dominant in-state provider for high-throughput COVID PCR.
Several individual codes are flagged as statistical outliers in national comparisons and should be noted for operational significance: P9603 and multiple common panels are described as "notably above typical national volume," and 80048 is described as an "extreme outlier." These labels indicate unusually high volume for specific services (especially home/SNF collection and basic metabolic testing) relative to national peers, which has implications for capacity, logistics, and referral sources.
The provider has longstanding enrollment with an NPI enumerated on 2006-10-09 (~20 years ago), which indicates operational longevity and likely established referral relationships with SNFs, HHAs, and outpatient ordering providers. Combined with the high-volume community/sample-collection profile, the tenure supports a mature local operation oriented toward point-of-care collection plus centralized laboratory processing.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
117 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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 | 1,180,020 | $1 | $1.2M |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 69,820 | $10 | $698.2K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 29,020 | $10 | $290.2K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 27,760 | $10 | $222.1K |
| 84443 | The 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… | 12,500 | $20 | $200.1K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 13,590 | $10 | $176.6K |
| 82306 | The 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… | 6,080 | $30 | $176.4K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 14,200 | $10 | $142K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 13,070 | $10 | $104.6K |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 11,120 | $10 | $66.7K |
Showing 1–10 of 117
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 117 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
43 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 2,710 | $70 | $186.7K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 15,710 | $10 | $141.4K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 16,720 | $10 | $117K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 10,070 | $10 | $80.5K |
| 84443 | The 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… | 5,210 | $20 | $78.1K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 8,370 | $10 | $75.3K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 6,100 | $10 | $67.1K |
| 82306 | The 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… | 2,480 | $20 | $57K |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 6,680 | $10 | $33.4K |
| 80164 | The lab analyst measures the amount of total valproic acid, also called dipropylacetic acid, in the blood. Valproic acid is a drug that a provider uses to treat certain types of seizures. | 2,730 | $10 | $32.8K |
Showing 1–10 of 43
How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Georgia median
43 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 15 | 40 | 850 | $70 | $983K |
| 82306 | The 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… | 10 | 40 | 180 | $20 | $194.3K |
| 84443 | The 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… | 10 | 50 | 760 | $10 | $164.2K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 15 | 100 | 460 | $10 | $159.9K |
| 87086 | Culture, bacterial; quantitative, colony count, urine. | 13 | 30 | 2,870 | $10 | $136.8K |
| U0005 | Infectious 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,… | 24 | 40 | 740 | $20 | $122.4K |
| 87088 | The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification. | 9 | 20 | 1,420 | $1 | $119.9K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 7 | 80 | 600 | $10 | $110.4K |
| 83880 | The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart… | 20 | 30 | 1,420 | $20 | $88.6K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 19 | 140 | 940 | $1 | $82.1K |
Showing 1–10 of 43
Other providers in the same ZIP code as Clinical Laboratory Services, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Heather Whaley | GA | Speech-Language Pathologist | $0 | $4.6M |
| Transcare Medical, LLC | GA | Ambulance | $1.8M | $0 |
| Winder Ems | GA | Land Ambulance | $736.2K | $0 |
| Barrow County Board Of Commissioners | GA | Ambulance | $538.3K | $0 |
| Saad Ashraf | GA | Pulmonary Disease Physician | $380.7K | $0 |
| Wayne Austin | GA | Internal Medicine Physician | $262.1K | $0 |
| Oguguo Okoye | GA | Emergency Medicine Physician | $134.3K | $0 |
| Doy Gay | GA | Family Medicine Physician | $114K | $0 |
| Hatem Asad | GA | Pulmonary Disease Physician | $109.7K | $0 |
| Randall Hanson | GA | Foot & Ankle Surgery Podiatrist | $63.6K | $0 |
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