Statistical flag only — not an accusation of fraud
This provider's $8.5M in total Medicare payments ranks in the 89th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 5.33x is significantly above the specialty median of 3.7x.
Medicare payments to this provider grew 317% from 2022 to 2023.
This provider has been statistically flagged with a risk score of 73/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 317% 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 |
|---|---|---|---|---|---|---|---|
| 2022 | $58.73 | $10.95 | 5.36x | $47.78 | $1.6M | 150.0K | 160 |
| 2023 | $60.59 | $11.38 | 5.32x | $49.21 | $6.8M | 602.0K | 250 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 88.5K | $913.1K | $10.32 | 4.38x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 84.8K | $644.3K | $7.59 | 4.43x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 48.9K | $639.2K | $13.08 | 3.90x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 38.0K | $624.0K | $16.43 | 6.11x |
| 36415 | Insertion of needle into vein for collection of blood sample | 72.8K | $401.6K | $5.52 | 1.14x |
| 82306 | Vitamin d-3 level | 12.2K | $352.9K | $28.88 | 5.95x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 8.0K | $306.8K | $38.41 | 2.88x |
| 83970 | Parathormone (parathyroid hormone) level | 6.7K | $270.3K | $40.27 | 5.84x |
| 83036 | Hemoglobin a1c level | 28.2K | $267.8K | $9.49 | 5.87x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 17.8K | $146.9K | $8.27 | 5.04x |
| 87086 | Bacterial colony count, urine | 18.1K | $142.7K | $7.89 | 7.52x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 2.4K | $142.2K | $60.16 | 4.05x |
| 86481 | Tuberculosis test, enumeration of t-cells | 1.2K | $115.6K | $96.99 | 1.96x |
| 84153 | Psa (prostate specific antigen) measurement, total | 6.4K | $114.1K | $17.97 | 6.08x |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 1.5K | $110.8K | $73.45 | 1.36x |
| 87077 | Bacterial culture for aerobic isolates | 13.9K | $110.0K | $7.90 | 3.05x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 12.4K | $104.5K | $8.46 | 12.22x |
| 83735 | Magnesium level | 14.3K | $93.5K | $6.55 | 7.08x |
| 84439 | Thyroxine (thyroid chemical), free | 10.6K | $93.2K | $8.79 | 13.29x |
| 82728 | Ferritin (blood protein) level | 6.9K | $91.4K | $13.33 | 6.75x |
This provider submits charges 5.33 times higher than what Medicare actually pays.
A markup ratio of 5.33x means for every $100 Medicare pays, this provider initially charges $533. 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 OK for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Diagnostic Laboratory Of Oklahoma Llc | Oklahoma City, OK | $129.7M | ⚠️ Flagged |
| Saint Francis Outreach Services Llc | Tulsa, OK | $50.6M | ⚠️ Flagged |
| Dianon Systems Inc | Oklahoma City, OK | $37.7M | ✓ 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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