This provider's $9.7M in total Medicare payments ranks in the 90th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 108% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 71% 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 | $38.11 | $17.86 | 2.13x | $20.25 | $445.9K | 26.1K | 19.4K |
| 2015 | $41.57 | $17.78 | 2.34x | $23.79 | $459.9K | 26.9K | 19.2K |
| 2016 | $386.75 | $91.40 | 4.23x | $295.35 | $600.6K | 8.3K | 5.5K |
| 2017 | $288.03 | $86.97 | 3.31x | $201.06 | $980.4K | 12.1K | 8.0K |
| 2018 | $288.90 | $131.63 | 2.19x | $157.27 | $1.7M | 13.9K | 10.1K |
| 2019 | $339.40 | $152.78 | 2.22x | $186.62 | $1.5M | 13.9K | 10.5K |
| 2020 | $249.25 | $131.36 | 1.90x | $117.89 | $1.1M | 9.7K | 7.7K |
| 2021 | $237.43 | $131.77 | 1.80x | $105.66 | $1.0M | 9.3K | 7.4K |
| 2022 | $237.42 | $130.14 | 1.82x | $107.28 | $963.1K | 9.0K | 7.3K |
| 2023 | $237.58 | $127.72 | 1.86x | $109.86 | $928.5K | 8.7K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0481 | Drug test def 8-14 classes | 33.5K | $4.6M | $136.37 | 2.11x |
| 80307 | Testing for presence of drug | 38.2K | $2.3M | $60.85 | 1.61x |
| G0482 | Drug test def 15-21 classes | 6.8K | $1.2M | $173.14 | 2.52x |
| G0483 | Drug test def 22+ classes | 2.0K | $389.0K | $196.35 | 3.56x |
| G0480 | Drug test(s), definitive, utilizing 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 (an | 1.9K | $211.3K | $109.60 | 1.58x |
| G0479 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when | 2.4K | $113.6K | $47.11 | 2.06x |
| G6056 | Opiate(s), drug and metabolites, each procedure | 3.5K | $90.3K | $25.95 | 3.03x |
| 83925 | Opiates (drug) measurement | 3.0K | $77.2K | $25.99 | 2.10x |
| 80299 | Quantitation of drug | 4.1K | $75.2K | $18.28 | 2.07x |
| G6044 | Cocaine or metabolite | 3.5K | $70.6K | $20.21 | 2.04x |
| 83805 | Meprobamate (sedative) level | 3.0K | $70.2K | $23.52 | 2.10x |
| G6052 | Meprobamate | 2.7K | $64.5K | $23.50 | 2.07x |
| G6058 | Drug confirmation, each procedure | 3.5K | $60.7K | $17.46 | 2.09x |
| 82520 | Cocaine (drug) level | 3.0K | $60.1K | $20.24 | 2.10x |
| G6053 | Methadone | 3.5K | $44.2K | $12.65 | 3.31x |
| 83840 | Methadone level | 3.0K | $37.7K | $12.66 | 2.13x |
| G6042 | Amphetamine or methamphetamine | 3.5K | $32.8K | $9.43 | 4.71x |
| G6039 | Acetaminophen | 3.5K | $32.6K | $9.33 | 5.31x |
| 83789 | Mass spectrometry (laboratory testing method) | 2.1K | $32.4K | $15.55 | 2.06x |
| G6031 | Benzodiazepines | 1.4K | $30.2K | $22.04 | 2.04x |
This provider submits charges 2.12 times higher than what Medicare actually pays.
A markup ratio of 2.12x means for every $100 Medicare pays, this provider initially charges $212. 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 MI for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Vpa Pc | Troy, MI | $119.3M | ✓ Clear |
| Biotech Clinical Laboratories Inc | Novi, MI | $89.7M | ✓ Clear |
| Orchard Laboratories Corp | West Bloomfield, MI | $78.6M | ⚠️ Flagged |
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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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