This provider's $5.4M in total Medicare payments ranks in the 82th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 2668% from 2022 to 2023.
96% of their billing comes from a single procedure code (K1034 — Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2668% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2022 | $99.09 | $48.89 | 2.03x | $50.20 | $187.1K | 3.8K | 4 |
| 2023 | $18.13 | $11.82 | 1.53x | $6.31 | $5.2M | 438.2K | 3 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 437.3K | $5.1M | $11.76 | 1.53x |
| 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 | 2.1K | $157.1K | $73.95 | 2.03x |
| 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 | 2.1K | $52.8K | $24.65 | 2.03x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 294 | $6.8K | $22.99 | 2.17x |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 119 | $6.0K | $50.28 | 2.04x |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 13 | $535.47 | $41.19 | 1.72x |
This provider submits charges 1.55 times higher than what Medicare actually pays.
A markup ratio of 1.55x means for every $100 Medicare pays, this provider initially charges $155. This is lower than the national average.
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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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