This provider's $15.8M in total Medicare payments ranks in the 94th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 1218% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1233% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $2.53 | $1.18 | 2.14x | $1.35 | $380.7K | 321.3K | 50 |
| 2015 | $13.26 | $5.48 | 2.42x | $7.78 | $357.7K | 65.3K | 51 |
| 2016 | $11.15 | $4.73 | 2.36x | $6.42 | $418.1K | 88.3K | 54 |
| 2017 | $11.40 | $4.82 | 2.37x | $6.58 | $439.7K | 91.3K | 49 |
| 2018 | $9.98 | $4.05 | 2.46x | $5.93 | $448.1K | 110.6K | 55 |
| 2019 | $8.63 | $3.80 | 2.27x | $4.83 | $452.9K | 119.1K | 47 |
| 2020 | $7.98 | $3.56 | 2.24x | $4.42 | $289.5K | 81.4K | 42 |
| 2021 | $11.24 | $5.06 | 2.22x | $6.18 | $3.9M | 763.2K | 129 |
| 2022 | $11.81 | $4.95 | 2.39x | $6.86 | $4.2M | 840.4K | 148 |
| 2023 | $7.08 | $3.24 | 2.19x | $3.84 | $5.0M | 1.5M | 147 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 2.4M | $2.2M | $0.95 | 1.34x |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 344.7K | $2.1M | $6.11 | 2.46x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 238.6K | $1.9M | $8.04 | 2.50x |
| 80053 | Blood test, comprehensive group of blood chemicals | 138.8K | $1.5M | $10.71 | 2.52x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 97.8K | $863.8K | $8.83 | 2.55x |
| 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 | 192.1K | $754.1K | $3.93 | 1.18x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 44.2K | $734.1K | $16.63 | 2.52x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 43.9K | $586.0K | $13.36 | 2.57x |
| 36415 | Insertion of needle into vein for collection of blood sample | 84.7K | $405.2K | $4.79 | 2.52x |
| 82306 | Vitamin d-3 level | 10.6K | $309.1K | $29.28 | 2.44x |
| 83036 | Hemoglobin a1c level | 29.0K | $278.2K | $9.59 | 2.47x |
| 80164 | Valproic acid level, total | 19.5K | $268.3K | $13.75 | 2.53x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 14.0K | $209.2K | $14.94 | 2.50x |
| 85610 | Blood test, clotting time | 38.4K | $181.8K | $4.74 | 2.51x |
| 81001 | Manual urinalysis test with examination using microscope, automated | 51.1K | $168.1K | $3.29 | 2.56x |
| 84134 | Prealbumin (protein) level | 10.6K | $158.5K | $14.98 | 2.63x |
| 80069 | Kidney function blood test panel | 16.2K | $158.0K | $9.77 | 2.60x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 18.0K | $153.8K | $8.55 | 2.52x |
| 87086 | Bacterial colony count, urine | 18.9K | $151.2K | $8.00 | 2.49x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 3.7K | $146.5K | $39.27 | 2.51x |
This provider submits charges 2.27 times higher than what Medicare actually pays.
A markup ratio of 2.27x means for every $100 Medicare pays, this provider initially charges $227. 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 NV for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Incorporated | Las Vegas, NV | $182.1M | ⚠️ Flagged |
| Md Spine Solutions Llc | Reno, NV | $79.7M | ✓ 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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