This provider's $7.0M in total Medicare payments ranks in the 86th 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 |
|---|---|---|---|---|---|---|---|
| 2022 | $92.78 | $23.07 | 4.02x | $69.71 | $5.1M | 160.3K | 12.4K |
| 2023 | $74.34 | $19.00 | 3.91x | $55.34 | $1.9M | 68.0K | 13.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 53.4K | $3.9M | $73.63 | 4.07x |
| G2024 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source | 53.4K | $1.3M | $25.00 | 4.00x |
| U0005 | Infectious 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 | 53.0K | $1.3M | $24.54 | 3.06x |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 1.9K | $94.8K | $50.28 | 1.99x |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 5.7K | $89.9K | $15.67 | 4.78x |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 49.3K | $51.3K | $1.04 | 4.81x |
| 87637 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus | 269 | $37.2K | $138.46 | 3.55x |
| 36415 | Insertion of needle into vein for collection of blood sample | 3.1K | $25.8K | $8.40 | 2.98x |
| 80053 | Blood test, comprehensive group of blood chemicals | 1.3K | $13.3K | $10.35 | 9.49x |
| 82306 | Vitamin d-3 level | 440 | $12.8K | $29.01 | 1.84x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 651 | $10.7K | $16.46 | 3.23x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 1.3K | $10.2K | $7.61 | 7.01x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 470 | $6.2K | $13.12 | 7.11x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 133 | $5.1K | $38.47 | 1.73x |
| 83036 | Hemoglobin a1c level | 433 | $4.1K | $9.52 | 5.66x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 268 | $4.0K | $14.78 | 3.60x |
| 87086 | Bacterial colony count, urine | 489 | $3.9K | $7.91 | 6.66x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 383 | $3.2K | $8.29 | 10.91x |
| 85610 | Blood test, clotting time | 591 | $2.5K | $4.20 | 12.32x |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 66 | $2.3K | $34.62 | 2.87x |
This provider submits charges 3.87 times higher than what Medicare actually pays.
A markup ratio of 3.87x means for every $100 Medicare pays, this provider initially charges $387. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Llc Il | Wood Dale, IL | $446.2M | ⚠️ Flagged |
| Tempus Ai, Inc. | Chicago, IL | $213.4M | ⚠️ Flagged |
| Chicago Clinical Laboratories, Ltd | Northbrook, IL | $66.5M | ⚠️ Flagged |
| Lifescan Labs Of Illinois, Llc | Skokie, IL | $61.6M | ✓ Clear |
| Chicago Care Lab Services Llc | Chicago, IL | $56.7M | ⚠️ 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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