This provider's $11.1M in total Medicare payments ranks in the 91th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 40386% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 19685% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $488.84 | $256.25 | 1.91x | $232.59 | $6.5K | 25 | 24 |
| 2018 | $714.11 | $279.96 | 2.55x | $434.15 | $1.3M | 4.6K | 4.2K |
| 2019 | $456.84 | $217.04 | 2.10x | $239.80 | $1.2M | 4.7K | 4.5K |
| 2020 | $798.78 | $299.84 | 2.66x | $498.94 | $1.4M | 4.3K | 4.0K |
| 2021 | $786.68 | $298.00 | 2.64x | $488.68 | $1.9M | 4.3K | 4.0K |
| 2022 | $1.3K | $458.81 | 2.83x | $838.72 | $2.7M | 4.4K | 4.1K |
| 2023 | $873.19 | $337.40 | 2.59x | $535.79 | $2.6M | 3.1K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81479 | Molecular pathology procedure | 2.2K | $5.3M | $2.4K | 3.18x |
| 81450 | Test for detecting genes associated with blood related cancer | 2.7K | $2.0M | $745.99 | 1.74x |
| 81245 | Gene analysis (fms-related tyrosine kinase 3) internal tandem duplication variants | 2.6K | $422.6K | $163.61 | 2.03x |
| 81206 | Translocation analysis (BCR/ABL1) minor breakpoint | 2.4K | $420.3K | $173.30 | 2.58x |
| 81445 | Test for detecting genes associated with cancer of body organ | 620 | $360.7K | $581.84 | 2.06x |
| 81219 | Gene analysis (calreticulin), common variants | 2.5K | $316.1K | $126.47 | 2.36x |
| 81455 | Test for detecting genes associated with cancer | 114 | $268.7K | $2.4K | 3.82x |
| 81301 | Microsatellite instability analysis | 766 | $263.9K | $344.54 | 2.29x |
| 81235 | Gene analysis (epidermal growth factor receptor), common variants | 682 | $218.5K | $320.37 | 1.55x |
| 81263 | Gene rearrangement analysis (immunoglobulin heavy chain locus), variable region somatic mutation analysis | 702 | $215.8K | $307.36 | 2.61x |
| 81246 | Test for detecting genes associated with blood cancer | 2.5K | $201.9K | $82.07 | 1.98x |
| 81210 | Gene analysis (v-raf murine sarcoma viral oncogene homolog B1) | 1.1K | $187.2K | $172.83 | 1.56x |
| 81270 | Gene analysis (Janus kinase 2) variant | 1.4K | $133.2K | $98.01 | 1.92x |
| 87505 | Detection test for digestive tract pathogen | 740 | $99.8K | $134.91 | 2.59x |
| 81340 | Gene analysis (T cell antigen receptor beta) amplification methodology | 438 | $95.8K | $218.61 | 2.61x |
| 81207 | Translocation analysis (BCR/ABL1) major breakpoint | 489 | $80.3K | $164.25 | 2.41x |
| 81275 | Gene analysis (v-Ki-ras2 Kirsten rat sarcoma viral oncogene) variants in codons 12 and 13 | 350 | $66.8K | $190.76 | 1.55x |
| 81342 | Gene rearrangement analysis detection abnormal clonal population (T cell antigen receptor gamma) | 275 | $60.0K | $218.05 | 2.52x |
| 81374 | HLA class I typing, low resolution one antigen equivalent | 622 | $47.4K | $76.24 | 2.60x |
| 81403 | Molecular pathology procedure level 4 | 256 | $46.4K | $181.44 | 2.03x |
This provider submits charges 2.62 times higher than what Medicare actually pays.
A markup ratio of 2.62x means for every $100 Medicare pays, this provider initially charges $262. 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 TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Aegis Sciences Corporation | Nashville, TN | $419.3M | ⚠️ Flagged |
| Memphis Pathology Laboratory | Memphis, TN | $198.3M | ⚠️ Flagged |
| Aegis Sciences Corporation | Nashville, TN | $63.5M | ✓ Clear |
| Laboratory Corporation Of America | Knoxville, TN | $56.9M | ⚠️ Flagged |
| Compass Laboratory Services Llc | Memphis, TN | $54.7M | ✓ 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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