This provider's $18.6M in total Medicare payments ranks in the 95th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 516% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 252% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $156.91 | $129.18 | 1.21x | $27.73 | $277.8K | 1.8K | 1.5K |
| 2017 | $199.70 | $159.68 | 1.25x | $40.02 | $977.3K | 5.4K | 3.5K |
| 2018 | $188.47 | $154.54 | 1.22x | $33.93 | $1.2M | 6.2K | 4.0K |
| 2019 | $576.19 | $434.14 | 1.33x | $142.05 | $2.3M | 11.0K | 7.1K |
| 2020 | $517.65 | $383.57 | 1.35x | $134.08 | $6.2M | 30.7K | 18.6K |
| 2021 | $315.89 | $232.71 | 1.36x | $83.18 | $3.6M | 21.0K | 12.9K |
| 2022 | $70.47 | $59.07 | 1.19x | $11.40 | $2.3M | 16.6K | 6.0K |
| 2023 | $122.00 | $112.49 | 1.08x | $9.51 | $1.7M | 13.3K | 4.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0483 | Drug test def 22+ classes | 21.3K | $5.2M | $242.75 | 1.12x |
| G0482 | Drug test def 15-21 classes | 23.9K | $4.7M | $196.31 | 1.11x |
| G0481 | Drug test def 8-14 classes | 16.3K | $2.5M | $154.45 | 1.07x |
| 81408 | Molecular pathology procedure level 9 | 622 | $1.2M | $2.0K | 1.31x |
| 80307 | Testing for presence of drug | 18.1K | $1.1M | $62.92 | 1.31x |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 10.5K | $1.0M | $96.04 | 1.04x |
| G0480 | Drug test def 1-7 classes | 2.2K | $241.3K | $109.86 | 1.13x |
| 81226 | Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) common variants | 462 | $207.7K | $449.60 | 1.30x |
| 81232 | Gene analysis (dihydropyrimidine dehydrogenase) for common variant | 963 | $168.0K | $174.49 | 1.30x |
| 81317 | Gene analysis (postmeiotic segregation increased 2 [S cerevisiae]) full sequence analysis | 241 | $162.3K | $673.64 | 1.31x |
| 81162 | Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants | 93 | $160.0K | $1.7K | 1.29x |
| 81225 | Gene analysis (cytochrome P450, family 2, subfamily C, polypeptide 19) common variants | 541 | $156.9K | $289.97 | 1.31x |
| 81227 | Gene analysis (cytochrome p450, family 2, subfamily c, polypeptide 9) common variants | 877 | $153.3K | $174.81 | 1.30x |
| 81231 | Gene analysis (cytochrome p450 family 3 subfamily a member 5) for common variant | 877 | $153.3K | $174.81 | 1.30x |
| 81230 | Gene analysis (cytochrome p450 family 3 subfamily a member 4) for common variant | 877 | $153.3K | $174.81 | 1.30x |
| 81328 | Gene analysis (solute carrier organic anion transporter family, member 1b1) for common variant | 811 | $141.8K | $174.81 | 1.30x |
| 81435 | Test for detecting genes associated with colon cancer | 234 | $136.2K | $582.02 | 1.31x |
| 81401 | Molecular pathology procedure level 2 | 787 | $107.1K | $136.07 | 1.31x |
| 81407 | Molecular pathology procedure level 8 | 113 | $94.9K | $839.53 | 1.31x |
| 81405 | Molecular pathology procedure level 6 | 256 | $76.8K | $299.94 | 1.31x |
This provider submits charges 1.16 times higher than what Medicare actually pays.
A markup ratio of 1.16x means for every $100 Medicare pays, this provider initially charges $116. 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 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 |
| Bioreference Health, Llc | Elmwood Park, NJ | $841.0M | ⚠️ Flagged |
| Accu Reference Medical Lab, Llc | Linden, NJ | $204.9M | ⚠️ Flagged |
| Aculabs Inc | East Brunswick, NJ | $91.5M | ✓ 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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