This provider's $28.3M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 7.28x is significantly above the specialty median of 3.7x.
AI-generated analysis based on Medicare payment data.
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $93.58 | $14.66 | 6.38x | $78.92 | $3.5M | 276.6K | 117.0K |
| 2015 | $84.73 | $14.57 | 5.82x | $70.16 | $4.3M | 398.3K | 146.3K |
| 2016 | $83.43 | $14.33 | 5.82x | $69.10 | $4.5M | 444.5K | 141.7K |
| 2017 | $80.67 | $15.21 | 5.30x | $65.46 | $4.5M | 439.8K | 138.6K |
| 2018 | $68.63 | $13.91 | 4.93x | $54.72 | $4.3M | 416.9K | 135.3K |
| 2019 | $61.81 | $10.91 | 5.67x | $50.90 | $2.4M | 252.3K | 103.2K |
| 2020 | $66.11 | $11.70 | 5.65x | $54.41 | $2.8M | 211.8K | 74.8K |
| 2021 | $88.95 | $12.64 | 7.04x | $76.31 | $1.9M | 146.4K | 60.4K |
| 2022 | $45.97 | $45.97 | 1.00x | $0.00 | $276.1K | 5.7K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 83036 | Hemoglobin A1C level | 709.2K | $8.5M | $11.96 | 7.13x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 276.3K | $4.3M | $15.55 | 9.40x |
| 86803 | Hepatitis C antibody measurement | 133.0K | $2.5M | $18.89 | 7.14x |
| 83615 | Lactate dehydrogenase (enzyme) level | 342.8K | $2.2M | $6.35 | 8.56x |
| 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 throughput technologies as described by cms-2020-01-r | 22.6K | $1.8M | $78.89 | 1.10x |
| 85610 | Blood test, clotting time | 332.0K | $1.7M | $5.02 | 6.85x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 64.5K | $1.3M | $20.87 | 7.12x |
| 80202 | Vancomycin (antibiotic) level | 45.5K | $758.5K | $16.68 | 6.68x |
| 84550 | Uric acid level, blood | 97.6K | $410.2K | $4.20 | 9.46x |
| 82977 | Glutamyltransferase (liver enzyme) level | 62.1K | $400.5K | $6.44 | 9.66x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) | 31.9K | $344.8K | $10.83 | 6.82x |
| 82945 | Glucose (sugar) level on body fluid | 65.7K | $304.4K | $4.63 | 7.85x |
| 82465 | Cholesterol level | 55.9K | $241.2K | $4.32 | 8.96x |
| 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 | 9.2K | $231.2K | $25.00 | 1.00x |
| 86140 | Measurement C-reactive protein for detection of infection or inflammation | 30.9K | $191.7K | $6.20 | 7.08x |
| 87205 | Special stain for microorganism | 34.5K | $181.2K | $5.26 | 6.77x |
| 87522 | Detection test for Hepatitis C virus | 3.2K | $169.8K | $53.51 | 6.77x |
| 83970 | Parathormone (parathyroid hormone) level | 3.1K | $168.9K | $53.71 | 7.26x |
| 84478 | Triglycerides level | 32.1K | $163.0K | $5.08 | 9.92x |
| 84439 | Thyroxine (thyroid chemical) measurement | 13.1K | $146.6K | $11.23 | 7.11x |
This provider submits charges 7.28 times higher than what Medicare actually pays.
A markup ratio of 7.28x means for every $100 Medicare pays, this provider initially charges $728. This is higher 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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