This provider's $12.0M in total Medicare payments ranks in the 92th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 3549% from 2019 to 2023.
97% of their billing comes from a single procedure code (K1034 — Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 81786% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $136.20 | $128.07 | 1.06x | $8.13 | $317.6K | 2.5K | 19 |
| 2020 | $13.02 | $10.81 | 1.20x | $2.21 | $26.5K | 2.5K | 19 |
| 2021 | $100.00 | $41.15 | 2.43x | $58.85 | $27.0K | 657 | 1 |
| 2022 | $100.00 | $41.02 | 2.44x | $58.98 | $14.2K | 345 | 1 |
| 2023 | $15.00 | $11.76 | 1.28x | $3.24 | $11.6M | 985.4K | 1 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 985.4K | $11.6M | $11.76 | 1.28x |
| 81408 | Molecular pathology procedure level 9 | 79 | $154.8K | $2.0K | 1.03x |
| 81405 | Molecular pathology procedure level 6 | 148 | $43.7K | $295.32 | 1.05x |
| 81404 | Molecular pathology procedure level 5 | 157 | $42.3K | $269.33 | 1.05x |
| 81406 | Molecular pathology procedure level 7 | 149 | $41.3K | $277.22 | 1.04x |
| U0003 | 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, making use of high throughput technologies as described by cms-2020-01-r | 334 | $25.0K | $74.92 | 2.67x |
| 81403 | Molecular pathology procedure level 4 | 79 | $14.3K | $181.50 | 1.06x |
| 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 | 334 | $8.3K | $24.97 | 2.00x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 334 | $7.8K | $23.43 | 2.13x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 541 | $7.5K | $13.88 | 1.17x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 402 | $7.0K | $17.47 | 1.21x |
| 82306 | Vitamin d-3 level | 218 | $6.7K | $30.54 | 1.11x |
| 80053 | Blood test, comprehensive group of blood chemicals | 546 | $6.0K | $10.95 | 1.17x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 457 | $3.7K | $8.02 | 1.12x |
| 83036 | Hemoglobin a1c level | 304 | $3.1K | $10.07 | 1.19x |
| 84436 | Thyroxine (thyroid chemical) measurement | 269 | $1.8K | $6.83 | 1.56x |
| 36415 | Insertion of needle into vein for collection of blood sample | 610 | $1.8K | $2.97 | 1.68x |
| 84479 | Thyroid hormone evaluation | 254 | $1.7K | $6.77 | 1.89x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 105 | $1.6K | $15.58 | 1.23x |
| 82746 | Folic acid level | 95 | $1.4K | $15.22 | 1.27x |
This provider submits charges 1.27 times higher than what Medicare actually pays.
A markup ratio of 1.27x means for every $100 Medicare pays, this provider initially charges $127. This is lower 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Clinical Laboratories Inc | Tampa, FL | $1.0B | ⚠️ Flagged |
| Laboratory Corporation Of America | Tampa, FL | $463.1M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Miramar, FL | $417.1M | ⚠️ Flagged |
| American Health S, Llc | Davie, FL | $175.7M | ✓ Clear |
| Ameripath Florida Llc | Pompano Beach, FL | $80.1M | ✓ 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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