This provider's $16.9M in total Medicare payments ranks in the 94th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 2265% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 583% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $302.72 | $232.03 | 1.30x | $70.69 | $130.2K | 561 | 3 |
| 2018 | $220.36 | $164.16 | 1.34x | $56.20 | $889.1K | 5.4K | 22 |
| 2019 | $222.30 | $164.98 | 1.35x | $57.32 | $1.5M | 8.9K | 31 |
| 2020 | $108.85 | $87.92 | 1.24x | $20.93 | $2.4M | 27.1K | 28 |
| 2021 | $62.41 | $53.65 | 1.16x | $8.76 | $4.3M | 80.0K | 30 |
| 2022 | $54.36 | $47.80 | 1.14x | $6.56 | $4.7M | 97.4K | 42 |
| 2023 | $43.76 | $36.41 | 1.20x | $7.35 | $3.1M | 84.5K | 67 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 23.6K | $5.8M | $243.71 | 1.34x |
| 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 | 67.1K | $5.2M | $77.28 | 1.12x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 68.2K | $1.6M | $23.28 | 1.07x |
| 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 | 57.6K | $1.4M | $24.79 | 1.05x |
| 87636 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b | 4.2K | $583.5K | $139.79 | 1.04x |
| 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 | 2.2K | $425.7K | $196.73 | 1.11x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 8.6K | $299.5K | $34.67 | 1.22x |
| 87633 | Detection test for multiple types of respiratory virus | 642 | $267.0K | $415.83 | 1.38x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 3.7K | $235.9K | $63.45 | 1.58x |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 3.7K | $186.2K | $50.28 | 1.07x |
| 87637 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus | 860 | $119.9K | $139.44 | 1.04x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 2.0K | $71.3K | $34.97 | 1.34x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 2.0K | $71.2K | $34.97 | 1.34x |
| 86409 | Measurement of neutralizing antibody to severe acute respiratory syndrome coronavirus 2 (covid-19) | 687 | $71.0K | $103.39 | 1.04x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 1.6K | $57.9K | $35.09 | 1.39x |
| 87641 | Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique | 1.6K | $57.7K | $35.09 | 1.40x |
| 87541 | Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique | 1.4K | $50.5K | $34.99 | 1.40x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 1.2K | $41.7K | $34.90 | 1.10x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 2.0K | $33.7K | $16.92 | 1.27x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 3.5K | $29.5K | $8.47 | 1.04x |
This provider submits charges 1.2 times higher than what Medicare actually pays.
A markup ratio of 1.2x means for every $100 Medicare pays, this provider initially charges $120. 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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