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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Advanced Clinical Laboratories, Inc.
๐Ÿ”ฌ
Organization

Advanced Clinical Laboratories, Inc.

NPI: 1033281324
Clermont, FL
10 years of data
Clinical Laboratory
$58.0M
Total Payments
1.1K
Beneficiaries
16.9M
Services
3.51x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$58.0M
Specialty median$1.9M
Rank #137 of 232 in specialty

๐Ÿ“‹ Key Findings

1Billed $58.0M over 10 years
23.51x markup ratio (above median)
398th percentile in Clinical Laboratory by payments
4Payments surged 20443% in 2016
517 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $58.0M in total Medicare payments ranks in the 98th percentile of Clinical Laboratory providers nationally.

Medicare payments to this provider grew 5590% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 20443% in 2016

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$329.88$57.995.69x$271.89$99.6K1.7K7
2015$311.77$58.045.37x$253.73$50.3K8676
2016$17.53$4.583.83x$12.95$10.3M2.3M150
2017$13.04$3.603.62x$9.44$12.9M3.6M180
2018$6.12$2.033.01x$4.09$6.8M3.4M126
2019$7.41$2.263.28x$5.15$5.1M2.3M127
2020$19.07$5.073.76x$14.00$7.8M1.5M132
2021$18.86$4.714.00x$14.15$5.6M1.2M121
2022$14.74$3.893.79x$10.85$3.6M933.0K117
2023$7.50$3.182.36x$4.32$5.7M1.8M130

Top Procedures (20)

P9603Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled
$13.6M
13.6M services$1.00/svc1.04x markup
U0003Infectious 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-rโš  4.6x markup
$6.0M
68.3K services$87.33/svc4.58x markup
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell countโš  4.2x markup
$3.1M
340.5K services$9.06/svc4.22x markup
80053Blood test, comprehensive group of blood chemicalsโš  4.5x markup
$2.7M
231.4K services$11.54/svc4.49x markup
82610Cystatin C (enzyme inhibitor) levelโš  4.1x markup
$2.3M
128.7K services$18.21/svc4.06x markup
84443Blood test, thyroid stimulating hormone (tsh)โš  4.2x markup
$2.1M
104.8K services$20.43/svc4.15x markup
G0471Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha)
$2.0M
314.6K services$6.25/svc2.27x markup
82306Vitamin d-3 levelโš  4.1x markup
$1.5M
41.4K services$36.41/svc4.14x markup
80048Blood test, basic group of blood chemicals (calcium, total)โš  4.4x markup
$1.5M
155.8K services$9.64/svc4.38x markup
80061Blood test, lipids (cholesterol and triglycerides)โš  4.9x markup
$1.3M
97.1K services$13.85/svc4.91x markup
88112Cell examination of specimen, selective cellular enhancement techniqueโš  5.8x markup
$1.3M
25.6K services$48.90/svc5.77x markup
36415Insertion of needle into vein for collection of blood sampleโš  4.0x markup
$1.2M
389.0K services$3.00/svc4.02x markup
83036Hemoglobin a1c levelโš  4.2x markup
$1.1M
95.1K services$11.49/svc4.22x markup
88305Pathology examination of tissue using a microscope, intermediate complexityโš  5.8x markup
$1.1M
21.2K services$50.81/svc5.80x markup
87086Bacterial colony count, urineโš  4.6x markup
$1.1M
112.2K services$9.42/svc4.58x markup
U0005Infectious 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
$820.8K
32.9K services$24.93/svc1.00x markup
82607Cyanocobalamin (vitamin b-12) levelโš  4.5x markup
$790.9K
43.2K services$18.30/svc4.48x markup
83880Natriuretic peptide (heart and blood vessel protein) levelโš  4.0x markup
$764.0K
18.1K services$42.24/svc4.05x markup
85610Blood test, clotting timeโš  4.2x markup
$671.5K
137.1K services$4.90/svc4.22x markup
87077Bacterial culture for aerobic isolatesโš  4.8x markup
$666.3K
72.7K services$9.16/svc4.80x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
P9603Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled13.6M$13.6M$1.001.04x
U0003Infectious 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-r68.3K$6.0M$87.334.58x
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count340.5K$3.1M$9.064.22x
80053Blood test, comprehensive group of blood chemicals231.4K$2.7M$11.544.49x
82610Cystatin C (enzyme inhibitor) level128.7K$2.3M$18.214.06x
84443Blood test, thyroid stimulating hormone (tsh)104.8K$2.1M$20.434.15x
G0471Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha)314.6K$2.0M$6.252.27x
82306Vitamin d-3 level41.4K$1.5M$36.414.14x
80048Blood test, basic group of blood chemicals (calcium, total)155.8K$1.5M$9.644.38x
80061Blood test, lipids (cholesterol and triglycerides)97.1K$1.3M$13.854.91x
88112Cell examination of specimen, selective cellular enhancement technique25.6K$1.3M$48.905.77x
36415Insertion of needle into vein for collection of blood sample389.0K$1.2M$3.004.02x
83036Hemoglobin a1c level95.1K$1.1M$11.494.22x
88305Pathology examination of tissue using a microscope, intermediate complexity21.2K$1.1M$50.815.80x
87086Bacterial colony count, urine112.2K$1.1M$9.424.58x
U0005Infectious 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 within32.9K$820.8K$24.931.00x
82607Cyanocobalamin (vitamin b-12) level43.2K$790.9K$18.304.48x
83880Natriuretic peptide (heart and blood vessel protein) level18.1K$764.0K$42.244.05x
85610Blood test, clotting time137.1K$671.5K$4.904.22x
87077Bacterial culture for aerobic isolates72.7K$666.3K$9.164.80x

Markup Analysis

Charge-to-Payment Ratio

3.51x

This provider submits charges 3.51 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.51x means for every $100 Medicare pays, this provider initially charges $351. This is higher than the national average.

Location

Clermont, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Clinical Laboratory providers in FL for peer comparison.

Advanced Clinical Laboratories, Inc. (you)
$58.0M
Quest Diagnostics Clinical Laboratories Incโš ๏ธ
$1.0B
Laboratory Corporation Of Americaโš ๏ธ
$463.1M
Quest Diagnostics Clinical Laboratories Incโš ๏ธ
$417.1M
American Health S, Llc
$175.7M
Ameripath Florida Llc
$80.1M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Quest Diagnostics Clinical Laboratories IncTampa, FL$1.0Bโš ๏ธ Flagged
Laboratory Corporation Of AmericaTampa, FL$463.1Mโš ๏ธ Flagged
Quest Diagnostics Clinical Laboratories IncMiramar, FL$417.1Mโš ๏ธ Flagged
American Health S, LlcDavie, FL$175.7Mโœ“ Clear
Ameripath Florida LlcPompano Beach, FL$80.1Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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