This provider's $24.1M in total Medicare payments ranks in the 96th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 10816% from 2014 to 2018.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2285% in 2015
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 | $362.43 | $177.59 | 2.04x | $184.84 | $70.6K | 411 | 411 |
| 2015 | $287.69 | $224.57 | 1.28x | $63.12 | $1.7M | 13.5K | 13.5K |
| 2016 | $483.45 | $200.06 | 2.42x | $283.39 | $5.9M | 29.0K | 28.8K |
| 2017 | $1.4K | $404.38 | 3.57x | $1.0K | $8.7M | 47.0K | 46.3K |
| 2018 | $1.6K | $415.35 | 3.84x | $1.2K | $7.7M | 24.3K | 24.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81408 | Molecular pathology procedure level 9 | 2.5K | $4.7M | $1.9K | 4.28x |
| 81226 | Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) common variants | 6.5K | $2.9M | $443.28 | 2.44x |
| 81401 | Molecular pathology procedure level 2 | 14.7K | $2.0M | $135.64 | 2.64x |
| 81400 | Molecular pathology procedure level 1 | 14.0K | $1.6M | $112.05 | 1.88x |
| 81225 | Gene analysis (cytochrome P450, family 2, subfamily C, polypeptide 19) common variants | 5.4K | $1.5M | $286.28 | 2.54x |
| 81211 | Gene analysis (breast cancer 1 and 2) full sequence and common duplication or deletion variants | 707 | $1.5M | $2.1K | 3.26x |
| 81241 | Gene analysis (coagulation factor V) Leiden variant | 15.1K | $1.2M | $80.86 | 2.02x |
| 81406 | Molecular pathology procedure level 7 | 2.7K | $1.2M | $438.05 | 2.43x |
| 81240 | Gene analysis (prothrombin, coagulation factor II) A variant | 14.9K | $982.1K | $65.73 | 2.10x |
| 81291 | Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants | 15.2K | $896.9K | $59.15 | 2.28x |
| 81405 | Molecular pathology procedure level 6 | 2.2K | $763.4K | $344.19 | 3.50x |
| 87633 | Detection test for multiple types of respiratory virus | 1.3K | $745.5K | $558.39 | 1.80x |
| 81404 | Molecular pathology procedure level 5 | 2.6K | $732.1K | $277.74 | 3.90x |
| 81402 | Molecular pathology procedure level 3 | 3.5K | $612.5K | $173.06 | 2.79x |
| 81317 | Gene analysis (postmeiotic segregation increased 2 [S cerevisiae]) full sequence analysis | 776 | $582.1K | $750.15 | 3.03x |
| 81292 | Gene analysis (mutL homolog 1, colon cancer, nonpolyposis type 2) full sequence analysis | 776 | $483.9K | $623.63 | 3.15x |
| 81321 | Gene analysis (phosphatase and tensin homolog), full sequence analysis | 772 | $453.1K | $586.89 | 3.02x |
| 81227 | Gene analysis (cytochrome P450, family 2, subfamily C, polypeptide 9) common variants | 2.1K | $365.7K | $171.53 | 3.99x |
| 81213 | Gene analysis (breast cancer 1 and 2) uncommon duplication or deletion variants | 532 | $302.2K | $567.98 | 3.88x |
| 81355 | Gene analysis (vitamin K epoxide reductase complex subunit 1) common variants | 1.4K | $121.7K | $86.44 | 4.17x |
This provider submits charges 2.96 times higher than what Medicare actually pays.
A markup ratio of 2.96x means for every $100 Medicare pays, this provider initially charges $296. 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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