This provider's $3.3M in total Medicare payments ranks in the 71th 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.
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 |
|---|---|---|---|---|---|---|---|
| 2023 | $1.1K | $744.68 | 1.53x | $396.26 | $3.3M | 4.5K | 11 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81440 | Test for detecting genes | 240 | $781.8K | $3.3K | 1.53x |
| 81443 | Genomic sequence analysis panel for severe inherited conditions with sequencing of 15 or more genes | 240 | $575.9K | $2.4K | 1.53x |
| 81419 | Gene analysis panel for evaluation of genes associated with epilepsy | 226 | $542.3K | $2.4K | 1.53x |
| 81317 | Gene analysis (postmeiotic segregation increased 2 [s cerevisiae]) full sequence analysis | 331 | $219.4K | $662.97 | 1.53x |
| 81298 | Gene analysis (muts homolog 6 [e coli]) full sequence analysis | 333 | $209.5K | $629.01 | 1.53x |
| 81307 | Gene analysis (partner and localizer of brca2) full sequence analysis | 311 | $206.2K | $662.97 | 1.53x |
| 81249 | Gene analysis (glucose-6-phosphate dehydrogenase) full sequence analysis | 314 | $184.6K | $588.00 | 1.53x |
| 81238 | Gene analysis (coagulation factor ix) full sequence analysis | 268 | $157.6K | $588.00 | 1.53x |
| 81448 | Gene analysis panel for hereditary disorders of the peripheral nervous system | 240 | $137.6K | $573.20 | 1.53x |
| 81223 | Gene analysis (cystic fibrosis transmembrane conductance regular) full gene sequence | 280 | $136.9K | $489.02 | 1.54x |
| 81279 | Gene analysis (janus kinase 2) targeted sequence analysis | 363 | $65.9K | $181.50 | 1.53x |
| 81339 | Gene analysis (mpl proto-oncogene, thrombopoietin receptor) sequence analysis of exon 10 | 363 | $65.9K | $181.50 | 1.53x |
| 81250 | Gene analysis (glucose-6-phosphatase, catalytic subunit) common variants | 325 | $18.6K | $57.32 | 1.54x |
| 81209 | Gene analysis (bloom syndrome, recq helicase-like) | 316 | $12.2K | $38.52 | 1.53x |
| 81242 | Gene analysis (fanconi anemia, complementation group c) common variant | 316 | $11.3K | $35.89 | 1.54x |
This provider submits charges 1.53 times higher than what Medicare actually pays.
A markup ratio of 1.53x means for every $100 Medicare pays, this provider initially charges $153. 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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