This provider's $23.8M in total Medicare payments ranks in the 96th 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.
Notable: Payments increased 121% 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 | $42.85 | $21.36 | 2.01x | $21.49 | $1.3M | 60.4K | 44.9K |
| 2015 | $75.89 | $32.15 | 2.36x | $43.74 | $2.9M | 107.2K | 36.8K |
| 2016 | $111.36 | $42.49 | 2.62x | $68.87 | $3.2M | 30.4K | 17.1K |
| 2017 | $110.56 | $45.80 | 2.41x | $64.76 | $3.7M | 29.8K | 16.1K |
| 2018 | $364.59 | $155.84 | 2.34x | $208.75 | $4.0M | 30.1K | 16.2K |
| 2019 | $359.49 | $232.20 | 1.55x | $127.29 | $2.3M | 17.5K | 6.4K |
| 2020 | $351.81 | $207.20 | 1.70x | $144.61 | $2.2M | 20.6K | 8.0K |
| 2021 | $96.07 | $61.83 | 1.55x | $34.24 | $1.4M | 22.5K | 13.0K |
| 2022 | $50.55 | $34.23 | 1.48x | $16.32 | $1.5M | 33.0K | 21.2K |
| 2023 | $35.40 | $25.35 | 1.40x | $10.05 | $1.2M | 41.8K | 25.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0483 | Drug test def 22+ classes | 15.9K | $3.7M | $235.71 | 2.12x |
| G0481 | Drug test def 8-14 classes | 21.7K | $3.3M | $152.07 | 1.64x |
| 80307 | Testing for presence of drug | 44.9K | $2.9M | $63.54 | 2.42x |
| G0482 | Drug test def 15-21 classes | 15.6K | $2.8M | $180.41 | 2.21x |
| G0480 | Drug test def 1-7 classes | 16.4K | $1.8M | $109.32 | 1.47x |
| 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 | 19.9K | $1.8M | $88.05 | 1.14x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 9.6K | $774.5K | $80.71 | 1.23x |
| G0479 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when | 12.9K | $764.6K | $59.33 | 2.05x |
| 81408 | Molecular pathology procedure level 9 | 197 | $386.1K | $2.0K | 1.36x |
| 87631 | Detection test for multiple types of respiratory virus | 2.1K | $288.9K | $140.43 | 1.51x |
| G6046 | Dihydromorphinone | 7.3K | $250.9K | $34.27 | 2.13x |
| 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 | 9.1K | $225.2K | $24.86 | 1.01x |
| G6045 | Dihydrocodeinone | 7.6K | $209.1K | $27.54 | 2.11x |
| G6031 | Benzodiazepines | 7.8K | $192.9K | $24.67 | 2.15x |
| G6056 | Opiate(s), drug and metabolites, each procedure | 6.9K | $178.0K | $25.83 | 2.19x |
| G6058 | Drug confirmation, each procedure | 9.7K | $171.1K | $17.67 | 2.50x |
| G6053 | Methadone | 7.5K | $163.9K | $21.78 | 2.16x |
| G6044 | Cocaine or metabolite | 7.8K | $156.8K | $20.21 | 2.18x |
| G6052 | Meprobamate | 6.6K | $154.4K | $23.51 | 2.13x |
| G6030 | Amitriptyline | 6.0K | $143.3K | $23.87 | 2.05x |
This provider submits charges 1.88 times higher than what Medicare actually pays.
A markup ratio of 1.88x means for every $100 Medicare pays, this provider initially charges $188. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Clinical Pathology Laboratories, Inc. | Austin, TX | $541.0M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Irving, TX | $453.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Dallas, TX | $389.6M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Houston, TX | $311.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Houston, TX | $299.4M | ⚠️ 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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