This provider's $100.9M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 94% 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 | $60.19 | $14.37 | 4.19x | $45.82 | $6.9M | 479.5K | 160 |
| 2015 | $55.21 | $16.40 | 3.37x | $38.81 | $7.9M | 483.3K | 164 |
| 2016 | $71.17 | $19.73 | 3.61x | $51.44 | $7.1M | 362.2K | 144 |
| 2017 | $72.60 | $21.49 | 3.38x | $51.11 | $8.5M | 395.4K | 151 |
| 2018 | $39.72 | $23.78 | 1.67x | $15.94 | $11.1M | 466.5K | 161 |
| 2019 | $22.20 | $19.33 | 1.15x | $2.87 | $10.8M | 558.0K | 188 |
| 2020 | $23.01 | $22.03 | 1.04x | $0.98 | $11.4M | 518.7K | 195 |
| 2021 | $23.37 | $23.17 | 1.01x | $0.20 | $11.9M | 511.6K | 189 |
| 2022 | $22.21 | $21.83 | 1.02x | $0.38 | $11.9M | 545.3K | 188 |
| 2023 | $22.47 | $21.92 | 1.03x | $0.55 | $13.4M | 609.4K | 194 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 51.3K | $7.7M | $149.40 | 1.04x |
| 87150 | Identification of organisms by genetic analysis, amplified probe technique | 157.4K | $5.5M | $34.72 | 1.02x |
| 82306 | Vitamin d-3 level | 147.2K | $5.1M | $34.31 | 2.57x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 123.2K | $4.3M | $34.62 | 1.02x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 186.5K | $3.6M | $19.28 | 2.45x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 44.4K | $3.0M | $67.45 | 1.11x |
| 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 | 35.7K | $2.8M | $78.51 | 1.01x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 202.8K | $2.7M | $13.24 | 2.98x |
| 80053 | Blood test, comprehensive group of blood chemicals | 230.1K | $2.5M | $10.68 | 2.97x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 236.2K | $2.1M | $8.90 | 2.50x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 118.1K | $2.1M | $17.40 | 2.52x |
| 81226 | Gene analysis (cytochrome p450, family 2, subfamily d, polypeptide 6) common variants | 4.5K | $2.0M | $443.40 | 1.02x |
| G0480 | 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 | 17.0K | $1.9M | $110.06 | 1.04x |
| 83036 | Hemoglobin a1c level | 158.3K | $1.8M | $11.11 | 2.45x |
| 82746 | Folic acid level, serum | 87.3K | $1.5M | $17.17 | 2.65x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 42.7K | $1.5M | $34.74 | 1.02x |
| 83698 | Lipoprotein-associated phospholipase a2 (enzyme) level | 30.5K | $1.4M | $45.46 | 2.21x |
| 82728 | Ferritin (blood protein) level | 85.6K | $1.4M | $16.12 | 2.81x |
| 83018 | Heavy metal level | 53.3K | $1.3M | $24.49 | 2.26x |
| 86235 | Measurement of antibody for assessment of autoimmune disorder, any method | 58.1K | $1.2M | $21.24 | 2.92x |
This provider submits charges 1.89 times higher than what Medicare actually pays.
A markup ratio of 1.89x means for every $100 Medicare pays, this provider initially charges $189. 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 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 |
| Interpace Diagnostics Corporation | Pittsburgh, PA | $95.6M | ✓ Clear |
| Silverpath, Inc. | Blue Bell, PA | $94.2M | ⚠️ Flagged |
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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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