This provider's $29.4M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 66% in 2018
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2017 | $34.97 | $31.42 | 1.11x | $3.55 | $4.0M | 127.3K | 69 |
| 2018 | $39.02 | $35.17 | 1.11x | $3.85 | $6.6M | 188.5K | 74 |
| 2019 | $22.33 | $19.26 | 1.16x | $3.07 | $4.4M | 227.9K | 75 |
| 2020 | $22.62 | $13.51 | 1.67x | $9.11 | $2.8M | 205.5K | 77 |
| 2021 | $20.52 | $12.88 | 1.59x | $7.64 | $3.5M | 273.5K | 66 |
| 2022 | $14.60 | $12.63 | 1.16x | $1.97 | $4.4M | 348.2K | 72 |
| 2023 | $14.95 | $12.69 | 1.18x | $2.26 | $3.7M | 292.0K | 67 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87633 | Detection test for multiple types of respiratory virus | 8.4K | $4.3M | $514.09 | 1.08x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 67.5K | $1.2M | $17.69 | 1.31x |
| 80074 | Acute hepatitis panel | 21.1K | $1.1M | $50.38 | 1.29x |
| 84481 | Thyroid hormone, t3 measurement, free | 55.1K | $985.3K | $17.87 | 1.28x |
| 83970 | Parathormone (parathyroid hormone) level | 22.7K | $968.2K | $42.58 | 1.32x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 67.3K | $922.0K | $13.70 | 1.31x |
| 86235 | Measurement of antibody for assessment of autoimmune disorder, any method | 46.7K | $903.6K | $19.37 | 1.16x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 54.0K | $855.3K | $15.85 | 1.27x |
| 82746 | Folic acid level, serum | 54.6K | $845.0K | $15.48 | 1.27x |
| 87507 | Detection test for digestive tract pathogen | 1.6K | $791.9K | $503.10 | 1.10x |
| 82306 | Vitamin d-3 level | 24.1K | $791.2K | $32.88 | 1.22x |
| 80053 | Blood test, comprehensive group of blood chemicals | 73.4K | $790.5K | $10.77 | 1.32x |
| 82728 | Ferritin (blood protein) level | 52.1K | $749.4K | $14.38 | 1.27x |
| 84403 | Testosterone (hormone) level, total | 25.0K | $678.1K | $27.09 | 1.29x |
| 83036 | Hemoglobin a1c level | 65.2K | $663.7K | $10.17 | 1.29x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 74.6K | $611.3K | $8.19 | 1.27x |
| 82670 | Measurement of total estradiol (hormone) | 20.6K | $603.7K | $29.28 | 1.31x |
| 84439 | Thyroxine (thyroid chemical), free | 58.6K | $557.6K | $9.51 | 1.28x |
| 86677 | Analysis for antibody to helicobacter pylori (gastrointestinal bacteria) | 28.5K | $484.1K | $16.96 | 1.22x |
| 84144 | Progesterone (reproductive hormone) level | 22.0K | $479.8K | $21.83 | 1.30x |
This provider submits charges 1.24 times higher than what Medicare actually pays.
A markup ratio of 1.24x means for every $100 Medicare pays, this provider initially charges $124. This is lower than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Clinical Laboratory providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Genomic Health, Inc. | Redwood City, CA | $887.6M | ✓ Clear |
| Unilab Corporation | West Hills, CA | $868.8M | ⚠️ Flagged |
| Caredx Inc. | Brisbane, CA | $751.0M | ✓ Clear |
| Laboratory Corporation Of America | San Diego, CA | $592.4M | ⚠️ Flagged |
| Millennium Health, Llc | San Diego, CA | $587.9M | ✓ Clear |
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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