This provider's $25.2M in total Medicare payments ranks in the 96th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 58% from 2014 to 2023.
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 | $21.77 | $11.23 | 1.94x | $10.54 | $1.8M | 188.8K | 97.2K |
| 2015 | $23.68 | $13.25 | 1.79x | $10.43 | $2.0M | 204.4K | 107.9K |
| 2016 | $21.97 | $11.28 | 1.95x | $10.69 | $2.3M | 225.6K | 120.1K |
| 2017 | $22.45 | $11.52 | 1.95x | $10.93 | $2.5M | 235.4K | 126.6K |
| 2018 | $29.07 | $16.62 | 1.75x | $12.45 | $2.7M | 248.2K | 135.3K |
| 2019 | $30.42 | $16.12 | 1.89x | $14.30 | $2.7M | 265.3K | 144.8K |
| 2020 | $51.34 | $26.27 | 1.95x | $25.07 | $2.7M | 270.1K | 148.0K |
| 2021 | $42.20 | $20.89 | 2.02x | $21.31 | $2.9M | 273.1K | 147.5K |
| 2022 | $46.71 | $21.00 | 2.22x | $25.71 | $2.7M | 263.3K | 143.2K |
| 2023 | $33.92 | $16.24 | 2.09x | $17.68 | $2.9M | 266.2K | 146.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 245.7K | $3.4M | $13.63 | 2.57x |
| 80053 | Blood test, comprehensive group of blood chemicals | 284.9K | $3.2M | $11.33 | 2.67x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 163.6K | $3.1M | $19.17 | 2.61x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 243.8K | $2.1M | $8.82 | 2.04x |
| 36415 | Insertion of needle into vein for collection of blood sample | 486.0K | $1.7M | $3.43 | 2.11x |
| 83036 | Hemoglobin A1C level | 145.8K | $1.6M | $11.02 | 1.91x |
| 82306 | Vitamin D-3 level | 48.5K | $1.5M | $31.82 | 1.71x |
| 80048 | Blood test, basic group of blood chemicals | 93.6K | $861.2K | $9.20 | 2.72x |
| 87507 | Detection test for digestive tract pathogen | 1.2K | $530.2K | $441.45 | 1.36x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 12.4K | $513.7K | $41.30 | 1.94x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 20.1K | $468.0K | $23.27 | 1.72x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 26.6K | $446.5K | $16.78 | 3.08x |
| 85610 | Blood test, clotting time | 87.1K | $421.7K | $4.84 | 2.89x |
| 84153 | PSA (prostate specific antigen) measurement | 19.6K | $403.8K | $20.64 | 2.18x |
| 87086 | Bacterial colony count, urine | 38.7K | $361.0K | $9.34 | 2.57x |
| 84439 | Thyroxine (thyroid chemical) measurement | 33.5K | $341.9K | $10.21 | 1.76x |
| 82043 | Urine microalbumin (protein) level | 46.2K | $302.7K | $6.55 | 1.53x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 14.0K | $301.5K | $21.56 | 2.09x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 46.2K | $271.3K | $5.87 | 2.56x |
| 81001 | Manual urinalysis test with examination using microscope | 55.0K | $201.2K | $3.66 | 2.73x |
This provider submits charges 2.31 times higher than what Medicare actually pays.
A markup ratio of 2.31x means for every $100 Medicare pays, this provider initially charges $231. 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 PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Clinical Laboratories Inc | Norristown, PA | $340.6M | ✓ Clear |
| Quest Diagnostics Of Pennsylvania, Inc. | Pittsburgh, PA | $130.4M | ⚠️ Flagged |
| Health Network Laboratories, Llc | Allentown, PA | $125.3M | ⚠️ Flagged |
| Sma Medical, Inc. | Feasterville, PA | $100.9M | ✓ Clear |
| Interpace Diagnostics Corporation | Pittsburgh, PA | $95.6M | ✓ 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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