This provider's $19.4M in total Medicare payments ranks in the 95th 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.
Notable: Payments increased 67% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $47.20 | $15.37 | 3.07x | $31.83 | $2.4M | 289.8K | 124.2K |
| 2015 | $50.42 | $16.23 | 3.11x | $34.19 | $2.3M | 267.9K | 123.2K |
| 2016 | $65.05 | $21.88 | 2.97x | $43.17 | $2.8M | 292.6K | 147.8K |
| 2017 | $68.53 | $22.13 | 3.10x | $46.40 | $3.4M | 339.1K | 172.9K |
| 2018 | $68.07 | $20.78 | 3.28x | $47.29 | $3.3M | 349.8K | 173.8K |
| 2019 | $70.88 | $19.59 | 3.62x | $51.29 | $1.9M | 215.3K | 111.8K |
| 2020 | $48.96 | $18.86 | 2.60x | $30.10 | $1.1M | 120.0K | 57.5K |
| 2021 | $41.50 | $15.25 | 2.72x | $26.25 | $607.3K | 101.1K | 44.0K |
| 2022 | $41.08 | $15.60 | 2.63x | $25.48 | $603.2K | 94.2K | 46.5K |
| 2023 | $41.96 | $15.62 | 2.69x | $26.34 | $1.0M | 122.1K | 68.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 85.5K | $1.8M | $21.18 | 1.90x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 198.7K | $1.8M | $8.82 | 2.58x |
| 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) | 315.8K | $1.7M | $5.25 | 2.45x |
| 80053 | Blood test, comprehensive group of blood chemicals | 133.2K | $1.6M | $12.19 | 2.84x |
| 80048 | Blood test, basic group of blood chemicals | 115.4K | $1.2M | $10.00 | 2.68x |
| 82306 | Vitamin D-3 level | 30.8K | $1.1M | $37.11 | 1.40x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 18.3K | $765.9K | $41.93 | 2.64x |
| 87086 | Bacterial colony count, urine | 67.8K | $709.2K | $10.46 | 2.62x |
| 83036 | Hemoglobin A1C level | 50.4K | $615.3K | $12.21 | 2.69x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 36.0K | $534.5K | $14.84 | 2.88x |
| 85610 | Blood test, clotting time | 94.0K | $472.9K | $5.03 | 2.62x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) | 42.0K | $471.3K | $11.22 | 2.64x |
| 36415 | Insertion of needle into vein for collection of blood sample | 132.9K | $451.2K | $3.40 | 3.14x |
| 87088 | Bacterial urine culture | 40.4K | $425.2K | $10.51 | 2.63x |
| 87077 | Bacterial culture for aerobic isolates | 42.0K | $398.8K | $9.50 | 2.55x |
| 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 | 398.7K | $397.6K | $1.00 | 2.49x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 16.4K | $308.0K | $18.83 | 2.15x |
| 87502 | Detection test for multiple types influenza virus | 2.9K | $289.8K | $101.26 | 2.72x |
| 81001 | Manual urinalysis test with examination using microscope | 72.0K | $279.3K | $3.88 | 2.64x |
| 83970 | Parathormone (parathyroid hormone) level | 4.8K | $247.0K | $51.93 | 2.70x |
This provider submits charges 2.54 times higher than what Medicare actually pays.
A markup ratio of 2.54x means for every $100 Medicare pays, this provider initially charges $254. 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 CO for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America | Englewood, CO | $139.3M | ⚠️ Flagged |
| Biodesix, Inc. | Boulder, CO | $52.6M | ✓ 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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