This provider's $52.8M in total Medicare payments ranks in the 98th 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 | $29.49 | $13.41 | 2.20x | $16.08 | $8.1M | 603.2K | 91 |
| 2015 | $29.70 | $13.08 | 2.27x | $16.62 | $8.7M | 662.3K | 91 |
| 2016 | $28.26 | $11.81 | 2.39x | $16.45 | $7.0M | 591.6K | 83 |
| 2017 | $37.27 | $14.72 | 2.53x | $22.55 | $5.8M | 395.8K | 83 |
| 2018 | $42.43 | $15.46 | 2.74x | $26.97 | $4.8M | 310.5K | 80 |
| 2019 | $44.32 | $13.95 | 3.18x | $30.37 | $3.8M | 271.0K | 74 |
| 2020 | $46.15 | $14.43 | 3.20x | $31.72 | $3.3M | 226.7K | 73 |
| 2021 | $46.44 | $14.82 | 3.13x | $31.62 | $3.9M | 266.0K | 71 |
| 2022 | $45.98 | $14.58 | 3.15x | $31.40 | $3.7M | 254.7K | 65 |
| 2023 | $45.85 | $14.70 | 3.12x | $31.15 | $3.8M | 256.7K | 58 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 86001 | Measurement of antibody (igg) to allergic substance, each allergen | 1.1M | $7.4M | $6.69 | 1.61x |
| 83921 | Organic acid level | 241.0K | $5.3M | $21.83 | 2.17x |
| 86003 | Measurement of antibody (ige) to allergic substance, crude allergen extract, each | 487.7K | $3.1M | $6.41 | 3.93x |
| 82542 | Chemical analysis using chromatography technique | 109.6K | $2.6M | $23.86 | 3.00x |
| 82507 | Citrate level | 56.1K | $1.8M | $32.62 | 2.44x |
| 82715 | Stool fat differential measurement, quantitative | 68.3K | $1.6M | $22.77 | 2.10x |
| 83785 | Manganese (heavy metal) level | 50.7K | $1.5M | $29.67 | 2.17x |
| 82300 | Cadmium level | 54.3K | $1.5M | $27.37 | 2.16x |
| 82530 | Cortisol (hormone) measurement, free | 72.2K | $1.4M | $20.06 | 2.99x |
| 83150 | Homovanillic acid (organic acid) level | 56.1K | $1.3M | $23.85 | 2.34x |
| 82726 | Very long chain fatty acids level | 53.7K | $1.2M | $21.86 | 2.40x |
| 82139 | Amino acid level, 6 or more amino acids, quantitative, each specimen | 55.3K | $1.1M | $19.78 | 2.55x |
| 84585 | Urine vanillylmandelic acid | 56.0K | $1.0M | $18.18 | 2.46x |
| 83520 | Measurement of substance using immunoassay technique | 53.6K | $921.8K | $17.18 | 3.10x |
| 82978 | Glutathione (protein) level | 51.5K | $885.5K | $17.21 | 2.39x |
| 87046 | Stool culture, additional pathogens | 84.3K | $868.5K | $10.31 | 4.48x |
| 83497 | Hydroxyindolacetic acid (product of metabolism) level | 56.0K | $847.6K | $15.13 | 2.46x |
| 84210 | Pyruvate (organic acid) level | 56.1K | $805.5K | $14.37 | 2.18x |
| 83655 | Lead level | 54.3K | $772.9K | $14.23 | 2.18x |
| 82525 | Copper level | 50.5K | $739.8K | $14.64 | 2.23x |
This provider submits charges 2.66 times higher than what Medicare actually pays.
A markup ratio of 2.66x means for every $100 Medicare pays, this provider initially charges $266. 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 NC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Burlington, NC | $2.2B | ⚠️ Flagged |
| Pathgroup Labs, Llc | Greensboro, NC | $203.7M | ⚠️ Flagged |
| Mako Medical Laboratories, Llc | Raleigh, NC | $107.0M | ✓ Clear |
| Quest Diagnostics Clinical Laboratories Inc | Greensboro, NC | $69.3M | ⚠️ Flagged |
| Laboratory Corporation Of America Holdings | Research Triangle Park, NC | $65.4M | ✓ 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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