This provider's $6.4M in total Medicare payments ranks in the 85th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 3894% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1604% 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 |
|---|---|---|---|---|---|---|---|
| 2019 | $411.00 | $134.26 | 3.06x | $276.74 | $56.5K | 421 | 421 |
| 2020 | $771.02 | $444.57 | 1.73x | $326.45 | $963.3K | 2.6K | 2.6K |
| 2021 | $496.37 | $377.40 | 1.32x | $118.97 | $1.1M | 2.8K | 2.7K |
| 2022 | $521.99 | $402.21 | 1.30x | $119.78 | $2.0M | 4.5K | 4.5K |
| 2023 | $504.26 | $429.72 | 1.17x | $74.54 | $2.3M | 5.2K | 5.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81162 | Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants | 471 | $843.3K | $1.8K | 1.15x |
| 81408 | Molecular pathology procedure level 9 | 363 | $725.2K | $2.0K | 1.38x |
| 81201 | Gene analysis (adenomatous polyposis coli), full gene sequence | 898 | $688.6K | $766.85 | 1.15x |
| 81351 | Gene analysis (tumor protein 53) full sequence analysis | 820 | $516.6K | $629.96 | 1.15x |
| 81321 | Gene analysis (phosphatase and tensin homolog), full sequence analysis | 845 | $497.8K | $589.07 | 1.22x |
| 81307 | Gene analysis (partner and localizer of brca2) full sequence analysis | 817 | $493.8K | $604.38 | 1.16x |
| 81226 | Gene analysis (cytochrome p450, family 2, subfamily d, polypeptide 6) common variants | 1.1K | $468.8K | $443.52 | 1.49x |
| 81407 | Molecular pathology procedure level 8 | 344 | $291.0K | $845.93 | 1.18x |
| 81401 | Molecular pathology procedure level 2 | 1.4K | $188.2K | $134.94 | 2.64x |
| 81317 | Gene analysis (postmeiotic segregation increased 2 [s cerevisiae]) full sequence analysis | 222 | $148.0K | $666.75 | 1.24x |
| 81298 | Gene analysis (muts homolog 6 [e coli]) full sequence analysis | 191 | $120.6K | $631.16 | 1.26x |
| 81292 | Gene analysis (mutl homolog 1, colon cancer, nonpolyposis type 2) full sequence analysis | 174 | $115.5K | $663.60 | 1.14x |
| 81405 | Molecular pathology procedure level 6 | 363 | $109.3K | $301.00 | 1.46x |
| 81406 | Molecular pathology procedure level 7 | 363 | $102.6K | $282.55 | 1.37x |
| 81227 | Gene analysis (cytochrome p450, family 2, subfamily c, polypeptide 9) common variants | 595 | $102.6K | $172.36 | 1.50x |
| 81404 | Molecular pathology procedure level 5 | 363 | $99.6K | $274.48 | 1.41x |
| 81241 | Gene analysis (coagulation factor v) leiden variant | 1.2K | $88.2K | $72.29 | 1.56x |
| 81240 | Gene analysis (prothrombin, coagulation factor ii) a variant | 1.2K | $79.0K | $64.73 | 1.66x |
| 81291 | Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants | 1.2K | $78.7K | $64.38 | 1.67x |
| 81328 | Gene analysis (solute carrier organic anion transporter family, member 1b1) for common variant | 430 | $74.6K | $173.37 | 1.85x |
This provider submits charges 1.34 times higher than what Medicare actually pays.
A markup ratio of 1.34x means for every $100 Medicare pays, this provider initially charges $134. 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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