Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

AVALON LABORATORY SOLUTIONS

NPI: 1467954966 · OWINGS MILLS, MD 21117 · Clinical Medical Laboratory · NPI assigned 03/01/2018

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code G0481 with only 3 total codes billed. Highly concentrated billing profile.

$7.06M
Total Medicaid Paid
57,628
Total Claims
31,848
Beneficiaries
3
Codes Billed
2018-05
First Month
2023-07
Last Month

Provider Details

Authorized OfficialBLOCKSTON, RODNEY (DIRECTOR OP)
NPI Enumeration Date03/01/2018

Related Entities

Other providers sharing the same authorized official: BLOCKSTON, RODNEY

ProviderCityStateTotal Paid
ERSO DIAGNOSTICS LLC TANEYTOWN MD $10.56M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,507 $686K
2019 10,043 $1.25M
2020 10,495 $1.27M
2021 16,463 $1.99M
2022 13,232 $1.63M
2023 1,888 $234K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 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; 8-14 drug class(es), including metabolite(s) if performed 55,858 30,880 $6.97M
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 1,390 721 $87K
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 380 247 $1K