This provider's $58.1M in total Medicare payments ranks in the 98th 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.
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 | $33.78 | $11.29 | 2.99x | $22.49 | $5.5M | 489.9K | 204 |
| 2015 | $34.27 | $11.45 | 2.99x | $22.82 | $5.7M | 500.8K | 212 |
| 2016 | $34.37 | $11.54 | 2.98x | $22.83 | $5.9M | 515.2K | 216 |
| 2017 | $34.47 | $11.67 | 2.95x | $22.80 | $6.0M | 511.2K | 236 |
| 2018 | $34.16 | $11.36 | 3.01x | $22.80 | $5.8M | 509.6K | 223 |
| 2019 | $34.32 | $10.36 | 3.31x | $23.96 | $5.4M | 523.3K | 219 |
| 2020 | $38.24 | $12.63 | 3.03x | $25.61 | $6.3M | 501.2K | 223 |
| 2021 | $38.40 | $12.79 | 3.00x | $25.61 | $6.7M | 522.8K | 216 |
| 2022 | $36.82 | $11.32 | 3.25x | $25.50 | $5.7M | 502.3K | 218 |
| 2023 | $35.94 | $10.79 | 3.33x | $25.15 | $5.0M | 466.4K | 216 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 461.9K | $5.2M | $11.17 | 3.40x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 369.3K | $5.1M | $13.93 | 3.81x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 447.4K | $4.0M | $9.00 | 2.78x |
| 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 | 46.5K | $3.9M | $82.72 | 1.50x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 181.0K | $3.5M | $19.45 | 2.98x |
| 82306 | Vitamin d-3 level | 95.6K | $3.2M | $33.61 | 3.62x |
| 36415 | Insertion of needle into vein for collection of blood sample | 804.7K | $2.8M | $3.45 | 1.82x |
| 83036 | Hemoglobin a1c level | 242.1K | $2.7M | $11.22 | 3.12x |
| 83970 | Parathormone (parathyroid hormone) level | 25.5K | $1.2M | $48.08 | 2.97x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 131.2K | $1.2M | $8.93 | 3.47x |
| 84153 | Psa (prostate specific antigen) measurement, total | 46.9K | $994.2K | $21.21 | 2.98x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 51.9K | $909.3K | $17.53 | 2.97x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 126.6K | $755.9K | $5.97 | 3.18x |
| 82043 | Urine microalbumin (protein) level | 108.9K | $726.4K | $6.67 | 3.45x |
| 84439 | Thyroxine (thyroid chemical), free | 62.9K | $660.5K | $10.50 | 3.05x |
| 87086 | Bacterial colony count, urine | 70.8K | $660.5K | $9.32 | 3.00x |
| 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 | 24.7K | $616.7K | $24.92 | 1.00x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 60.8K | $611.9K | $10.06 | 3.17x |
| 87077 | Bacterial culture for aerobic isolates | 64.2K | $606.2K | $9.44 | 2.97x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 13.2K | $560.7K | $42.52 | 2.75x |
This provider submits charges 3.08 times higher than what Medicare actually pays.
A markup ratio of 3.08x means for every $100 Medicare pays, this provider initially charges $308. 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 HI for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Diagnostic Laboratory Services, Inc | Aiea, HI | $100.6M | ✓ 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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