This provider's $251.6M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 276% from 2014 to 2023.
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 | $1.2K | $604.57 | 1.96x | $580.64 | $10.0M | 16.6K | 7 |
| 2015 | $1.4K | $626.61 | 2.16x | $725.98 | $13.6M | 21.6K | 7 |
| 2016 | $1.4K | $614.37 | 2.34x | $821.06 | $16.4M | 26.8K | 7 |
| 2017 | $1.5K | $636.88 | 2.30x | $826.12 | $19.0M | 29.8K | 7 |
| 2018 | $1.5K | $747.81 | 2.05x | $788.25 | $26.0M | 34.7K | 7 |
| 2019 | $1.9K | $886.74 | 2.09x | $968.84 | $31.0M | 35.0K | 7 |
| 2020 | $1.8K | $850.51 | 2.09x | $926.22 | $28.0M | 32.9K | 7 |
| 2021 | $2.2K | $1.1K | 2.03x | $1.1K | $34.4M | 32.3K | 8 |
| 2022 | $2.2K | $1.1K | 2.03x | $1.1K | $35.6M | 32.2K | 7 |
| 2023 | $2.4K | $1.2K | 2.01x | $1.2K | $37.7M | 31.5K | 8 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81545 | Gene analysis (thyroid cancer) | 29.4K | $100.1M | $3.4K | 1.88x |
| 81546 | Mrna gene analysis of 10,196 genes in fine needle aspiration thyroid specimen, reported as category result (e.g. benign, suspicious) | 25.6K | $90.5M | $3.5K | 1.81x |
| 81479 | Molecular pathology procedure | 14.0K | $25.9M | $1.9K | 2.18x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 127.9K | $15.5M | $120.85 | 4.02x |
| 81554 | Mrna gene analysis of 190 genes associated with lung disease (idiopathic pulmonary fibrosis) in transbronchial biopsy specimen of lung | 1.6K | $8.5M | $5.4K | 2.54x |
| 84999 | Chemistry procedures | 1.8K | $5.6M | $3.1K | 1.56x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 82.0K | $4.0M | $49.18 | 5.05x |
| 81210 | Gene analysis (v-raf murine sarcoma viral oncogene homolog b1) | 8.1K | $1.4M | $173.20 | 2.74x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 2.0K | $70.4K | $35.32 | 1.39x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 947 | $37.9K | $40.06 | 2.06x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 70 | $1.3K | $18.37 | 2.33x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 29 | $745.96 | $25.72 | 3.13x |
This provider submits charges 2.09 times higher than what Medicare actually pays.
A markup ratio of 2.09x means for every $100 Medicare pays, this provider initially charges $209. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Genomic Health, Inc. | Redwood City, CA | $887.6M | ✓ Clear |
| Unilab Corporation | West Hills, CA | $868.8M | ⚠️ Flagged |
| Caredx Inc. | Brisbane, CA | $751.0M | ✓ Clear |
| Laboratory Corporation Of America | San Diego, CA | $592.4M | ⚠️ Flagged |
| Millennium Health, Llc | San Diego, CA | $587.9M | ✓ 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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