Statistical flag only — not an accusation of fraud
This provider's $841.0M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
This provider has been statistically flagged with a risk score of 83/100. Statistical flags are not accusations of fraud.
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 | $72.82 | $18.28 | 3.98x | $54.54 | $89.3M | 4.9M | 473 |
| 2015 | $73.47 | $17.97 | 4.09x | $55.50 | $87.2M | 4.9M | 468 |
| 2016 | $79.66 | $18.86 | 4.22x | $60.80 | $93.1M | 4.9M | 478 |
| 2017 | $79.18 | $21.01 | 3.77x | $58.17 | $102.7M | 4.9M | 483 |
| 2018 | $40.95 | $21.92 | 1.87x | $19.03 | $101.2M | 4.6M | 485 |
| 2019 | $48.30 | $17.12 | 2.82x | $31.18 | $73.6M | 4.3M | 467 |
| 2020 | $85.95 | $20.66 | 4.16x | $65.29 | $76.0M | 3.7M | 471 |
| 2021 | $84.51 | $20.36 | 4.15x | $64.15 | $80.4M | 4.0M | 465 |
| 2022 | $83.59 | $19.59 | 4.27x | $64.00 | $70.7M | 3.6M | 457 |
| 2023 | $83.57 | $19.39 | 4.31x | $64.18 | $66.8M | 3.4M | 448 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81539 | Measurement of proteins associated with prostate cancer | 107.2K | $76.1M | $710.53 | 1.16x |
| 88185 | Flow cytometry technique for dna or cell analysis, each additional marker | 1.4M | $45.1M | $33.10 | 3.58x |
| 80053 | Blood test, comprehensive group of blood chemicals | 3.5M | $39.6M | $11.15 | 3.55x |
| 82306 | Vitamin d-3 level | 995.6K | $34.9M | $35.08 | 4.89x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 1.6M | $32.4M | $19.93 | 4.41x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 1.7M | $23.7M | $13.58 | 4.04x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 2.4M | $22.5M | $9.27 | 2.98x |
| 83036 | Hemoglobin a1c level | 1.4M | $16.5M | $11.55 | 7.78x |
| 88374 | Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure | 72.9K | $16.1M | $220.39 | 3.94x |
| 81450 | Targeted genomic sequence analysis panel of dna or combine dna and rna of 5-50 genes associated with blood and lymphatic system disorders | 19.0K | $14.3M | $750.25 | 2.67x |
| 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 | 152.6K | $13.3M | $87.16 | 1.77x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 729.7K | $13.1M | $17.89 | 4.28x |
| 82728 | Ferritin (blood protein) level | 672.5K | $10.6M | $15.83 | 4.50x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 180.3K | $10.4M | $57.59 | 3.98x |
| 84153 | Psa (prostate specific antigen) measurement, total | 466.7K | $10.1M | $21.62 | 3.61x |
| 82746 | Folic acid level, serum | 578.0K | $10.1M | $17.45 | 4.29x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 132.2K | $8.2M | $61.67 | 2.11x |
| 88121 | Cell examination of urine, computer-assisted | 18.4K | $7.8M | $421.81 | 2.43x |
| 87086 | Bacterial colony count, urine | 803.8K | $7.6M | $9.42 | 4.31x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 177.2K | $7.4M | $42.03 | 3.97x |
This provider submits charges 3.72 times higher than what Medicare actually pays.
A markup ratio of 3.72x means for every $100 Medicare pays, this provider initially charges $372. 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 NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Raritan, NJ | $1.2B | ⚠️ Flagged |
| Quest Diagnostics Incorporated | Clifton, NJ | $927.2M | ⚠️ Flagged |
| Accu Reference Medical Lab, Llc | Linden, NJ | $204.9M | ⚠️ Flagged |
| Aculabs Inc | East Brunswick, NJ | $91.5M | ✓ Clear |
| Siparadigm Llc | Pine Brook, NJ | $70.1M | ✓ 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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