This provider's $20.8M in total Medicare payments ranks in the 95th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 225% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 211% in 2015
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 | $65.64 | $21.41 | 3.07x | $44.23 | $978.4K | 45.7K | 25 |
| 2015 | $62.14 | $20.25 | 3.07x | $41.89 | $3.0M | 150.4K | 21 |
| 2016 | $260.31 | $45.27 | 5.75x | $215.04 | $1.4M | 31.6K | 11 |
| 2017 | $600.42 | $107.01 | 5.61x | $493.41 | $2.5M | 23.0K | 7 |
| 2018 | $623.28 | $113.54 | 5.49x | $509.74 | $2.3M | 19.9K | 15 |
| 2019 | $294.17 | $74.62 | 3.94x | $219.55 | $2.4M | 32.6K | 13 |
| 2020 | $112.92 | $52.80 | 2.14x | $60.12 | $1.9M | 35.7K | 16 |
| 2021 | $110.10 | $51.56 | 2.14x | $58.54 | $1.3M | 26.1K | 19 |
| 2022 | $71.66 | $40.71 | 1.76x | $30.95 | $1.8M | 44.6K | 33 |
| 2023 | $58.69 | $34.18 | 1.72x | $24.51 | $3.2M | 92.9K | 70 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0483 | 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 | 27.7K | $6.6M | $239.89 | 5.71x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 114.3K | $4.0M | $35.41 | 1.70x |
| 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 | 4.2K | $778.7K | $187.33 | 4.79x |
| 83789 | Mass spectrometry (laboratory testing method) | 27.1K | $652.7K | $24.10 | 3.07x |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 7.4K | $628.9K | $84.42 | 2.11x |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 5.1K | $483.0K | $94.08 | 1.62x |
| G6056 | Opiate(s), drug and metabolites, each procedure | 18.0K | $466.3K | $25.95 | 3.07x |
| 80299 | Quantitation of therapeutic drug | 22.6K | $412.5K | $18.28 | 3.06x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 10.8K | $357.1K | $32.95 | 1.41x |
| 80184 | Phenobarbital level | 22.0K | $334.9K | $15.23 | 3.08x |
| 83992 | PCP drug level | 14.9K | $293.1K | $19.67 | 3.06x |
| 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 | 1.6K | $237.9K | $149.33 | 4.55x |
| 82542 | Chemical analysis using chromatography technique | 9.8K | $237.4K | $24.11 | 3.06x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 5.9K | $208.4K | $35.29 | 1.67x |
| 87641 | Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique | 5.9K | $207.7K | $35.38 | 1.70x |
| 87556 | Detection test by nucleic acid for mycobacteria tuberculosis (tb bacteria), amplified probe technique | 5.0K | $203.6K | $41.01 | 1.65x |
| G6052 | Meprobamate | 8.5K | $200.6K | $23.50 | 3.07x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 4.9K | $170.7K | $35.09 | 1.67x |
| G6042 | Amphetamine or methamphetamine | 8.1K | $168.8K | $20.73 | 3.07x |
| 87529 | Detection test by nucleic acid for herpes simplex virus, amplified probe technique | 4.5K | $160.1K | $35.67 | 1.61x |
This provider submits charges 3.45 times higher than what Medicare actually pays.
A markup ratio of 3.45x means for every $100 Medicare pays, this provider initially charges $345. This is higher than the national average.
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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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