This provider's $13.4M in total Medicare payments ranks in the 93th 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 360% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $13.29 | $10.62 | 1.25x | $2.67 | $1.1M | 85.0K | 67.2K |
| 2015 | $16.44 | $13.62 | 1.21x | $2.82 | $892.9K | 69.6K | 52.5K |
| 2016 | $15.18 | $12.69 | 1.20x | $2.49 | $413.2K | 33.1K | 21.5K |
| 2017 | $17.05 | $12.89 | 1.32x | $4.16 | $452.7K | 35.2K | 21.5K |
| 2018 | $23.89 | $15.55 | 1.54x | $8.34 | $2.1M | 180.3K | 112.2K |
| 2019 | $28.18 | $17.81 | 1.58x | $10.37 | $1.9M | 185.7K | 113.4K |
| 2020 | $31.76 | $18.09 | 1.76x | $13.67 | $2.3M | 175.4K | 105.2K |
| 2021 | $48.29 | $16.04 | 3.01x | $32.25 | $2.1M | 114.3K | 68.2K |
| 2022 | $35.41 | $16.44 | 2.15x | $18.97 | $1.2M | 81.7K | 49.9K |
| 2023 | $41.71 | $18.47 | 2.26x | $23.24 | $1.1M | 79.4K | 47.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 21.4K | $1.8M | $82.55 | 2.70x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 56.7K | $1.1M | $19.08 | 1.55x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 61.8K | $870.6K | $14.10 | 1.67x |
| 80053 | Blood test, comprehensive group of blood chemicals | 74.0K | $824.6K | $11.14 | 1.68x |
| 82306 | Vitamin D-3 level | 23.4K | $789.9K | $33.81 | 1.54x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 84.3K | $736.1K | $8.73 | 1.58x |
| 83036 | Hemoglobin A1C level | 45.6K | $501.6K | $11.00 | 1.55x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 28.6K | $490.6K | $17.12 | 1.55x |
| 82746 | Folic acid level | 22.8K | $386.0K | $16.95 | 1.50x |
| 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 | 14.7K | $366.1K | $24.95 | 1.34x |
| 84480 | Thyroid hormone, T3 measurement | 20.0K | $340.0K | $16.99 | 1.40x |
| G2024 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source | 11.4K | $290.5K | $25.42 | 1.35x |
| 36415 | Insertion of needle into vein for collection of blood sample | 80.5K | $264.7K | $3.29 | 1.60x |
| 87086 | Bacterial colony count, urine | 30.2K | $259.7K | $8.59 | 1.71x |
| 84153 | PSA (prostate specific antigen) measurement | 10.7K | $230.6K | $21.65 | 1.44x |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge. | 20.1K | $196.0K | $9.77 | 1.24x |
| 84436 | Thyroxine (thyroid chemical) measurement | 23.3K | $191.4K | $8.20 | 1.41x |
| 80307 | Testing for presence of drug | 2.6K | $175.6K | $67.36 | 2.68x |
| 87088 | Bacterial urine culture | 19.4K | $164.8K | $8.48 | 1.75x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 6.0K | $139.7K | $23.42 | 1.39x |
This provider submits charges 1.8 times higher than what Medicare actually pays.
A markup ratio of 1.8x means for every $100 Medicare pays, this provider initially charges $180. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Clinical Laboratories Inc | Tampa, FL | $1.0B | ⚠️ Flagged |
| Laboratory Corporation Of America | Tampa, FL | $463.1M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Miramar, FL | $417.1M | ⚠️ Flagged |
| American Health S, Llc | Davie, FL | $175.7M | ✓ Clear |
| Ameripath Florida Llc | Pompano Beach, FL | $80.1M | ✓ 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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