This provider's $21.3M in total Medicare payments ranks in the 95th 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.
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 | $227.01 | $60.55 | 3.75x | $166.46 | $2.0M | 20.5K | 19.1K |
| 2015 | $229.48 | $67.05 | 3.42x | $162.43 | $1.5M | 16.7K | 15.3K |
| 2016 | $323.71 | $117.12 | 2.76x | $206.59 | $2.1M | 16.4K | 14.9K |
| 2017 | $332.25 | $107.47 | 3.09x | $224.78 | $2.4M | 19.2K | 17.7K |
| 2018 | $318.33 | $98.09 | 3.25x | $220.24 | $2.5M | 19.5K | 17.7K |
| 2019 | $307.82 | $88.60 | 3.47x | $219.22 | $2.4M | 19.9K | 18.0K |
| 2020 | $322.31 | $70.92 | 4.54x | $251.39 | $2.1M | 17.6K | 15.9K |
| 2021 | $308.09 | $67.50 | 4.56x | $240.59 | $2.3M | 19.4K | 17.4K |
| 2022 | $321.02 | $86.92 | 3.69x | $234.10 | $2.1M | 17.6K | 15.4K |
| 2023 | $241.34 | $50.42 | 4.79x | $190.92 | $2.0M | 17.9K | 15.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81479 | Molecular pathology procedure | 32.9K | $9.9M | $301.17 | 3.70x |
| 81270 | Gene analysis (Janus kinase 2) variant | 16.8K | $1.8M | $105.76 | 4.54x |
| 88189 | Flow cytometry technique for DNA or cell analysis | 17.1K | $1.2M | $72.77 | 4.86x |
| 88237 | Tissue culture for tumor disorders of bone marrow and blood cells | 7.3K | $1.1M | $152.36 | 3.17x |
| 88184 | Flow cytometry technique for DNA or cell analysis | 15.2K | $803.7K | $52.83 | 2.57x |
| 81313 | Test for detecting genes associated with prostate cancer | 2.4K | $600.4K | $253.77 | 2.23x |
| 81210 | Gene analysis (v-raf murine sarcoma viral oncogene homolog B1) | 2.7K | $578.4K | $210.39 | 3.51x |
| 81403 | Molecular pathology procedure level 4 | 3.5K | $466.8K | $134.11 | 4.10x |
| 81235 | Gene analysis (epidermal growth factor receptor), common variants | 1.3K | $465.6K | $369.25 | 5.28x |
| 88275 | Genetic testing | 7.9K | $406.2K | $51.61 | 3.95x |
| 88185 | Flow cytometry technique for DNA or cell analysis | 15.2K | $357.7K | $23.54 | 2.81x |
| 81315 | Translocation analysis (PML-RARA regulated adaptor molecule 1) common breakpoint | 959 | $236.7K | $246.80 | 2.74x |
| 81219 | Gene analysis (calreticulin), common variants | 1.6K | $214.4K | $136.22 | 4.35x |
| 84999 | Chemistry procedures | 750 | $191.1K | $254.80 | 2.24x |
| 81288 | Test for detecting genes associated with colon cancer | 978 | $185.6K | $189.78 | 4.27x |
| 88271 | DNA testing for genetic defects | 8.3K | $176.5K | $21.37 | 7.53x |
| 81272 | Gene analysis (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog), targeted sequence | 532 | $172.7K | $324.57 | 3.28x |
| 0008M | Onc breast risk score | 48 | $161.3K | $3.4K | 1.42x |
| 81520 | Gene analysis of breast tumor tissue | 55 | $155.5K | $2.8K | 1.70x |
| 81279 | Gene analysis (janus kinase 2) targeted sequence analysis | 844 | $155.3K | $184.03 | 2.95x |
This provider submits charges 3.8 times higher than what Medicare actually pays.
A markup ratio of 3.8x means for every $100 Medicare pays, this provider initially charges $380. 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 NC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Burlington, NC | $2.2B | ⚠️ Flagged |
| Pathgroup Labs, Llc | Greensboro, NC | $203.7M | ⚠️ Flagged |
| Mako Medical Laboratories, Llc | Raleigh, NC | $107.0M | ✓ Clear |
| Quest Diagnostics Clinical Laboratories Inc | Greensboro, NC | $69.3M | ⚠️ Flagged |
| Laboratory Corporation Of America Holdings | Research Triangle Park, NC | $65.4M | ✓ 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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