Statistical flag only — not an accusation of fraud
This provider's $63.5M in total Medicare payments ranks in the 98th 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 72/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 211% in 2020
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 | $147.42 | $29.14 | 5.06x | $118.28 | $3.4M | 115.6K | 198 |
| 2015 | $161.37 | $31.51 | 5.12x | $129.86 | $3.2M | 100.7K | 203 |
| 2016 | $164.51 | $30.82 | 5.34x | $133.69 | $3.3M | 105.5K | 203 |
| 2017 | $181.36 | $32.97 | 5.50x | $148.39 | $3.1M | 94.2K | 189 |
| 2018 | $207.27 | $37.77 | 5.49x | $169.50 | $3.9M | 102.5K | 195 |
| 2019 | $218.54 | $37.14 | 5.88x | $181.40 | $4.2M | 112.1K | 204 |
| 2020 | $171.46 | $61.52 | 2.79x | $109.94 | $13.0M | 210.5K | 222 |
| 2021 | $135.19 | $45.97 | 2.94x | $89.22 | $13.9M | 303.3K | 239 |
| 2022 | $192.08 | $45.53 | 4.22x | $146.55 | $9.2M | 202.2K | 257 |
| 2023 | $255.41 | $48.57 | 5.26x | $206.84 | $6.5M | 133.9K | 235 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 193.3K | $16.5M | $85.45 | 1.00x |
| 81528 | Gene analysis (colorectal cancer) | 6.7K | $3.3M | $498.20 | 1.13x |
| 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 | 102.4K | $2.5M | $23.97 | 1.00x |
| 81206 | Translocation analysis (bcr/abl1) major breakpoint | 9.5K | $1.6M | $173.53 | 4.70x |
| 81450 | Targeted genomic sequence analysis panel of dna or combine dna and rna of 5-50 genes associated with blood and lymphatic system disorders | 2.1K | $1.6M | $748.67 | 3.36x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 44.5K | $1.4M | $31.90 | 4.06x |
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 25.4K | $1.2M | $45.30 | 2.01x |
| 81455 | Targeted genomic sequence analysis panel of dna or combine dna and rna of 51 or greater genes associated with blood and lymphatic system disorders | 294 | $842.0K | $2.9K | 1.67x |
| 88271 | Dna testing for genetic defects | 36.7K | $836.0K | $22.78 | 3.59x |
| 88237 | Tissue culture for tumor disorders of bone marrow and blood cells | 5.5K | $825.5K | $149.45 | 6.19x |
| 88323 | Surgical pathology consultation and report on referred material requiring preparation of slides | 11.5K | $823.4K | $71.66 | 6.27x |
| 88325 | Surgical pathology consultation and report, comprehensive | 6.0K | $822.3K | $137.88 | 3.98x |
| 88321 | Surgical pathology consultation and report on referred slides prepared elsewhere | 9.8K | $744.0K | $75.68 | 6.87x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 19.1K | $733.2K | $38.44 | 6.84x |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 6.7K | $708.9K | $105.13 | 2.15x |
| 81376 | Hla class ii typing low resolution one locus | 5.7K | $698.1K | $123.19 | 2.15x |
| 88264 | Chromosome analysis for genetic defects, analyze 20-25 cells | 4.7K | $694.8K | $148.93 | 1.86x |
| 82306 | Vitamin d-3 level | 19.8K | $680.6K | $34.35 | 7.70x |
| 88185 | Flow cytometry technique for dna or cell analysis, each additional marker | 29.6K | $644.2K | $21.78 | 3.37x |
| 87799 | Detection test by nucleic acid for organism, quantification | 13.0K | $612.9K | $47.06 | 9.15x |
This provider submits charges 4.15 times higher than what Medicare actually pays.
A markup ratio of 4.15x means for every $100 Medicare pays, this provider initially charges $415. 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 MN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Mayo Clinic | Rochester, MN | $45.5M | ⚠️ Flagged |
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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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