Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Certus Laboratories, LLC

Certus Laboratories, LLC was paid $1.96M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 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 (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed — 34% of everything it billed.

33Billing provider infoCERTUS LABORATORIES, LLC
OCEAN SPRINGS, MS 39564
33aNPI1295147684assigned 05/20/2014
28Total paid$1.96M
24GClaims37,052
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Mississippi

Rank by total paid#5 of 35
Median peer was paid$136K
This provider vs. median14×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20185,559$217K
20195,109$229K
20202,549$222K
20213,440$302K
20222,483$248K
20232,989$257K
2024incomplete14,923$488K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 34% 5,894 5,031 $672K
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 (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 29% 7,914 6,341 $575K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 13% 8,221 6,507 $252K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 7.0% 1,959 1,464 $138K
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 (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 6.2% 1,825 1,616 $122K
87481 2.1% 1,105 917 $42K
87631 1.4% 540 475 $27K
87500 <1% 1,103 978 $13K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 38 28 $13K
87641 <1% 1,098 977 $13K
U0004 2019-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 cms-2020-01-r <1% 189 120 $12K
87640 <1% 1,146 955 $10K
18 more codes
87529 <1% 483 $10K
87653 <1% 1,012 $9K
87581 <1% 597 $9K
87541 <1% 586 $8K
87486 <1% 559 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 483 $6K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 483 $6K
87511 <1% 476 $5K
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, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 189 $4K
87563 <1% 325 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 168 $3K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 325 $2K
87498 <1% 30 $731.26
87505 <1% 25 $359.21
36415 Collection of venous blood by venipuncture <1% 131 $138.61
80053 Comprehensive metabolic panel <1% 72 $47.50
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 59 $13.98
83036 Hemoglobin; glycosylated (A1C) <1% 17 $7.77

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBLACKWELL, JUSTIN (MANAGING MEMBER)