This provider's $107.0M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 12879% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1785% 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 | $90.84 | $22.07 | 4.12x | $68.77 | $86.5K | 3.9K | 4 |
| 2015 | $110.32 | $32.85 | 3.36x | $77.47 | $1.6M | 49.6K | 30 |
| 2016 | $322.56 | $113.19 | 2.85x | $209.37 | $2.4M | 20.8K | 9 |
| 2017 | $191.23 | $114.41 | 1.67x | $76.82 | $4.4M | 38.3K | 73 |
| 2018 | $78.24 | $37.54 | 2.08x | $40.70 | $6.5M | 172.0K | 112 |
| 2019 | $66.37 | $33.73 | 1.97x | $32.64 | $8.3M | 246.8K | 144 |
| 2020 | $73.33 | $51.51 | 1.42x | $21.82 | $31.3M | 607.1K | 153 |
| 2021 | $48.55 | $29.14 | 1.67x | $19.41 | $24.8M | 849.8K | 176 |
| 2022 | $35.24 | $20.36 | 1.73x | $14.88 | $16.5M | 808.7K | 175 |
| 2023 | $11.39 | $7.64 | 1.49x | $3.75 | $11.2M | 1.5M | 186 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 435.8K | $37.6M | $86.21 | 1.43x |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 52.7K | $12.8M | $243.14 | 2.01x |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 47.4K | $9.1M | $192.85 | 2.02x |
| 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 | 206.2K | $5.1M | $24.89 | 1.01x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 135.6K | $4.8M | $35.23 | 1.32x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 51.0K | $3.3M | $64.77 | 1.93x |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 19.6K | $2.9M | $147.52 | 1.97x |
| 80053 | Blood test, comprehensive group of blood chemicals | 221.2K | $2.4M | $10.69 | 1.92x |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 22.5K | $2.3M | $104.01 | 2.09x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 136.9K | $2.3M | $17.00 | 1.90x |
| 82306 | Vitamin d-3 level | 73.2K | $2.2M | $29.66 | 1.87x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 144.1K | $1.9M | $13.50 | 1.91x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 184.6K | $1.5M | $7.89 | 1.91x |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 1.2M | $1.3M | $1.06 | 1.02x |
| 36415 | Insertion of needle into vein for collection of blood sample | 251.4K | $1.2M | $4.72 | 1.72x |
| 83036 | Hemoglobin a1c level | 108.2K | $1.1M | $9.81 | 1.89x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 57.0K | $866.7K | $15.21 | 1.87x |
| 84999 | Chemistry procedures | 4.5K | $844.0K | $187.81 | 2.65x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 22.5K | $784.1K | $34.79 | 1.25x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 20.8K | $725.9K | $34.82 | 1.24x |
This provider submits charges 1.69 times higher than what Medicare actually pays.
A markup ratio of 1.69x means for every $100 Medicare pays, this provider initially charges $169. This is lower 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 NC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Burlington, NC | $2.2B | ⚠️ Flagged |
| Pathgroup Labs, Llc | Greensboro, NC | $203.7M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Greensboro, NC | $69.3M | ⚠️ Flagged |
| Laboratory Corporation Of America Holdings | Research Triangle Park, NC | $65.4M | ✓ Clear |
| Laboratory Corporation Of America Holdings | Research Triangle Park, NC | $61.5M | ⚠️ Flagged |
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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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