This provider's $33.2M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 429% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 133% in 2020
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 | $14.10 | $12.74 | 1.11x | $1.36 | $809.9K | 63.6K | 83 |
| 2015 | $15.70 | $12.98 | 1.21x | $2.72 | $1.5M | 117.3K | 101 |
| 2016 | $17.42 | $13.29 | 1.31x | $4.13 | $1.4M | 101.9K | 91 |
| 2017 | $21.69 | $13.88 | 1.56x | $7.81 | $1.3M | 95.5K | 94 |
| 2018 | $23.01 | $13.71 | 1.68x | $9.30 | $1.3M | 91.6K | 97 |
| 2019 | $125.26 | $22.55 | 5.55x | $102.71 | $2.1M | 91.2K | 100 |
| 2020 | $180.95 | $46.01 | 3.93x | $134.94 | $4.8M | 104.0K | 94 |
| 2021 | $100.72 | $38.76 | 2.60x | $61.96 | $8.0M | 205.8K | 86 |
| 2022 | $91.20 | $37.27 | 2.45x | $53.93 | $7.9M | 210.7K | 82 |
| 2023 | $78.61 | $31.47 | 2.50x | $47.14 | $4.3M | 136.2K | 89 |
| 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 | 164.1K | $12.9M | $78.67 | 2.54x |
| 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 | 127.7K | $3.2M | $24.80 | 1.99x |
| 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 | 77.7K | $2.0M | $25.19 | 2.02x |
| G0480 | 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 | 14.1K | $1.6M | $111.59 | 4.59x |
| 82306 | Vitamin d-3 level | 39.0K | $1.4M | $34.68 | 1.43x |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 24.6K | $1.2M | $50.26 | 2.71x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 60.8K | $1.2M | $19.96 | 1.40x |
| 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 | 7.4K | $1.1M | $154.85 | 9.17x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 71.9K | $981.9K | $13.66 | 1.60x |
| 80053 | Blood test, comprehensive group of blood chemicals | 84.4K | $929.0K | $11.00 | 1.55x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 83.3K | $770.7K | $9.25 | 1.38x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 9.2K | $570.4K | $62.01 | 3.40x |
| G0482 | 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 | 2.9K | $561.6K | $196.22 | 12.27x |
| 83036 | Hemoglobin a1c level | 47.8K | $549.6K | $11.49 | 1.42x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 16.6K | $289.4K | $17.39 | 1.50x |
| 84153 | Psa (prostate specific antigen) measurement, total | 10.6K | $236.3K | $22.26 | 1.32x |
| 83970 | Parathormone (parathyroid hormone) level | 4.3K | $218.5K | $50.96 | 1.27x |
| 84439 | Thyroxine (thyroid chemical), free | 15.5K | $160.9K | $10.36 | 1.46x |
| 82728 | Ferritin (blood protein) level | 9.5K | $157.9K | $16.62 | 1.31x |
| 36415 | Insertion of needle into vein for collection of blood sample | 49.1K | $152.5K | $3.11 | 4.19x |
This provider submits charges 2.7 times higher than what Medicare actually pays.
A markup ratio of 2.7x means for every $100 Medicare pays, this provider initially charges $270. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Llc Il | Wood Dale, IL | $446.2M | ⚠️ Flagged |
| Tempus Ai, Inc. | Chicago, IL | $213.4M | ⚠️ Flagged |
| Chicago Clinical Laboratories, Ltd | Northbrook, IL | $66.5M | ⚠️ Flagged |
| Lifescan Labs Of Illinois, Llc | Skokie, IL | $61.6M | ✓ Clear |
| Chicago Care Lab Services Llc | Chicago, IL | $56.7M | ⚠️ Flagged |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data