Statistical flag only — not an accusation of fraud
This provider's $91.8M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 93% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 74/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 98% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $103.21 | $18.93 | 5.45x | $84.28 | $4.7M | 249.9K | 114 |
| 2015 | $104.45 | $19.17 | 5.45x | $85.28 | $4.9M | 256.1K | 115 |
| 2016 | $108.10 | $20.03 | 5.40x | $88.07 | $9.7M | 485.4K | 135 |
| 2017 | $105.81 | $20.17 | 5.25x | $85.64 | $12.7M | 631.4K | 141 |
| 2018 | $69.65 | $19.65 | 3.54x | $50.00 | $11.2M | 568.7K | 137 |
| 2019 | $70.07 | $18.87 | 3.71x | $51.20 | $9.5M | 506.1K | 143 |
| 2020 | $73.34 | $18.30 | 4.01x | $55.04 | $10.1M | 551.0K | 144 |
| 2021 | $73.29 | $17.99 | 4.07x | $55.30 | $10.2M | 567.0K | 145 |
| 2022 | $80.58 | $17.31 | 4.66x | $63.27 | $9.5M | 550.8K | 150 |
| 2023 | $95.57 | $16.90 | 5.66x | $78.67 | $9.1M | 540.9K | 147 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 82542 | Chemical analysis using chromatography technique | 420.6K | $10.0M | $23.81 | 2.95x |
| 83698 | Lipoprotein-associated phospholipase a2 (enzyme) level | 211.2K | $9.6M | $45.56 | 2.58x |
| 83876 | Myeloperoxidase (white blood cell enzyme) measurement | 157.6K | $7.6M | $48.24 | 3.15x |
| 83704 | Lipoprotein level, quantitation of lipoprotein particle number(s) | 144.7K | $5.3M | $36.91 | 3.44x |
| 80053 | Blood test, comprehensive group of blood chemicals | 321.7K | $3.6M | $11.28 | 6.14x |
| 82306 | Vitamin d-3 level | 96.3K | $3.2M | $33.70 | 6.35x |
| 82172 | Apolipoprotein level | 156.2K | $3.2M | $20.74 | 2.75x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 151.3K | $2.9M | $19.34 | 6.19x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 205.3K | $2.9M | $14.03 | 6.75x |
| 86141 | Measurement c-reactive protein for detection of infection or inflammation, high sensitivity | 178.3K | $2.6M | $14.72 | 4.74x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 254.7K | $2.3M | $8.99 | 5.24x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 121.6K | $2.1M | $16.89 | 6.36x |
| 83520 | Measurement of substance using immunoassay technique | 117.8K | $2.0M | $17.07 | 3.31x |
| 83090 | Homocysteine (amino acid) level | 95.2K | $1.8M | $19.22 | 6.47x |
| 84403 | Testosterone (hormone) level, total | 65.4K | $1.8M | $27.00 | 5.53x |
| 83695 | Lipoprotein (a) level | 93.7K | $1.4M | $15.36 | 3.02x |
| 84481 | Thyroid hormone, t3 measurement, free | 72.9K | $1.4M | $18.92 | 6.58x |
| 83525 | Insulin measurement, total | 102.5K | $1.3M | $12.65 | 5.39x |
| 82777 | Galectin-3 level | 32.0K | $1.2M | $37.29 | 2.18x |
| 82670 | Measurement of total estradiol (hormone) | 38.7K | $1.2M | $30.39 | 6.58x |
This provider submits charges 4.63 times higher than what Medicare actually pays.
A markup ratio of 4.63x means for every $100 Medicare pays, this provider initially charges $463. 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 OH for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Dublin, OH | $659.2M | ⚠️ Flagged |
| Assurex Health, Inc. | Mason, OH | $253.0M | ✓ Clear |
| American Health Mw, Llc | Cincinnati, OH | $178.9M | ✓ Clear |
| Compunet Clinical Laboratories Llc | Moraine, OH | $77.5M | ✓ Clear |
| University Hospitals Laboratory Services Foundation | Cleveland, OH | $62.8M | ✓ 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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