This provider's $20.1M 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 | $34.64 | $14.13 | 2.45x | $20.51 | $4.3M | 460.5K | 254.8K |
| 2015 | $34.26 | $13.83 | 2.48x | $20.43 | $3.9M | 401.2K | 231.5K |
| 2016 | $34.38 | $14.25 | 2.41x | $20.13 | $3.8M | 368.0K | 216.6K |
| 2017 | $34.69 | $14.57 | 2.38x | $20.12 | $3.7M | 341.4K | 206.0K |
| 2018 | $34.58 | $14.42 | 2.40x | $20.16 | $3.6M | 331.2K | 195.9K |
| 2019 | $35.10 | $13.48 | 2.60x | $21.62 | $743.5K | 75.2K | 61.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 82306 | Vitamin D-3 level | 49.8K | $1.9M | $38.51 | 3.25x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 83.6K | $1.8M | $21.94 | 2.05x |
| 80053 | Blood test, comprehensive group of blood chemicals | 137.8K | $1.8M | $12.82 | 3.12x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 173.7K | $1.8M | $10.13 | 2.41x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 90.5K | $1.0M | $11.42 | 2.63x |
| 83036 | Hemoglobin A1C level | 75.2K | $951.3K | $12.66 | 1.97x |
| 36415 | Insertion of needle into vein for collection of blood sample | 245.8K | $722.6K | $2.94 | 3.40x |
| 84153 | PSA (prostate specific antigen) measurement | 19.7K | $474.0K | $24.03 | 1.87x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 23.9K | $469.2K | $19.60 | 2.04x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 9.2K | $405.3K | $44.22 | 3.17x |
| 84439 | Thyroxine (thyroid chemical) measurement | 31.8K | $374.5K | $11.76 | 2.55x |
| 80048 | Blood test, basic group of blood chemicals | 34.7K | $371.1K | $10.69 | 2.81x |
| 82728 | Ferritin (blood protein) level | 20.1K | $357.3K | $17.80 | 2.25x |
| 85610 | Blood test, clotting time | 54.1K | $278.7K | $5.15 | 2.33x |
| 87086 | Bacterial colony count, urine | 26.1K | $275.3K | $10.55 | 2.37x |
| 82746 | Folic acid level | 13.2K | $252.4K | $19.18 | 1.82x |
| 87077 | Bacterial culture for aerobic isolates | 20.5K | $216.6K | $10.56 | 2.35x |
| 84403 | Testosterone (hormone) level | 6.2K | $210.5K | $33.93 | 1.77x |
| 84481 | Thyroid hormone, T3 measurement | 8.6K | $189.1K | $22.08 | 3.40x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) | 16.6K | $187.4K | $11.31 | 2.21x |
This provider submits charges 2.57 times higher than what Medicare actually pays.
A markup ratio of 2.57x means for every $100 Medicare pays, this provider initially charges $257. 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 MI for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Vpa Pc | Troy, MI | $119.3M | ✓ Clear |
| Biotech Clinical Laboratories Inc | Novi, MI | $89.7M | ✓ Clear |
| Orchard Laboratories Corp | West Bloomfield, MI | $78.6M | ⚠️ 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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