This provider's $17.6M in total Medicare payments ranks in the 95th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 3142% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1095% in 2021
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $198.24 | $99.12 | 2.00x | $99.12 | $192.4K | 1.9K | 8 |
| 2021 | $85.10 | $42.46 | 2.00x | $42.64 | $2.3M | 54.1K | 19 |
| 2022 | $61.16 | $30.10 | 2.03x | $31.06 | $8.8M | 293.7K | 40 |
| 2023 | $71.93 | $35.30 | 2.04x | $36.63 | $6.2M | 176.7K | 32 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 216.8K | $7.5M | $34.54 | 2.03x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 47.8K | $3.3M | $69.09 | 2.03x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 79.0K | $2.7M | $34.52 | 2.03x |
| 87641 | Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique | 16.8K | $580.9K | $34.54 | 2.03x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 16.5K | $569.7K | $34.54 | 2.03x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 16.5K | $568.2K | $34.53 | 2.03x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 15.8K | $545.4K | $34.52 | 2.03x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 15.6K | $540.1K | $34.52 | 2.03x |
| 87563 | Detection of mycoplasma genitalium by dna or rna probe | 8.6K | $298.2K | $34.49 | 2.03x |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 1.1K | $109.3K | $95.15 | 2.01x |
| 87631 | Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets | 632 | $89.1K | $140.99 | 1.59x |
| 87634 | Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique | 1.1K | $80.1K | $69.73 | 2.01x |
| 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 | 74.8K | $77.3K | $1.03 | 2.00x |
| 81408 | Molecular pathology procedure level 9 | 21 | $42.0K | $2.0K | 2.00x |
| 87498 | Detection test by nucleic acid for enterovirus (intestinal virus), amplified probe technique | 1.1K | $39.5K | $34.85 | 2.01x |
| 87541 | Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique | 1.1K | $39.5K | $34.85 | 2.01x |
| 87581 | Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique | 1.1K | $39.5K | $34.85 | 2.01x |
| 87486 | Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique | 1.1K | $39.4K | $34.85 | 2.01x |
| 81226 | Gene analysis (cytochrome p450, family 2, subfamily d, polypeptide 6) common variants | 78 | $34.9K | $446.89 | 2.02x |
| 81328 | Gene analysis (solute carrier organic anion transporter family, member 1b1) for common variant | 182 | $31.4K | $172.77 | 2.02x |
This provider submits charges 2.03 times higher than what Medicare actually pays.
A markup ratio of 2.03x means for every $100 Medicare pays, this provider initially charges $203. 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 OK for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Diagnostic Laboratory Of Oklahoma Llc | Oklahoma City, OK | $129.7M | ⚠️ Flagged |
| Saint Francis Outreach Services Llc | Tulsa, OK | $50.6M | ⚠️ Flagged |
| Dianon Systems Inc | Oklahoma City, OK | $37.7M | ✓ 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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