This provider's $3.8M in total Medicare payments ranks in the 75th percentile of Clinical Laboratory providers nationally.
69% of their billing comes from a single procedure code (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).
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 |
|---|---|---|---|---|---|---|---|
| 2022 | $104.73 | $43.06 | 2.43x | $61.67 | $2.6M | 55.6K | 4.2K |
| 2023 | $56.52 | $25.28 | 2.24x | $31.24 | $1.3M | 27.7K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 35.7K | $2.6M | $73.65 | 2.04x |
| 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 | 35.4K | $868.7K | $24.55 | 2.04x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 10.3K | $236.0K | $23.01 | 2.04x |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 1.8K | $90.3K | $50.32 | 3.42x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 16 | $550.24 | $34.39 | 2.04x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 16 | $550.24 | $34.39 | 2.04x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 16 | $550.24 | $34.39 | 2.04x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 16 | $550.24 | $34.39 | 2.04x |
| 83036 | Hemoglobin a1c level | 17 | $161.84 | $9.52 | 2.04x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 12 | $157.44 | $13.12 | 2.04x |
| 80053 | Blood test, comprehensive group of blood chemicals | 13 | $134.55 | $10.35 | 2.04x |
| 36415 | Insertion of needle into vein for collection of blood sample | 16 | $134.40 | $8.40 | 2.04x |
| 81001 | Manual urinalysis test with examination using microscope, automated | 13 | $40.43 | $3.11 | 2.04x |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 13 | $8.21 | $0.63 | 1.33x |
This provider submits charges 2.07 times higher than what Medicare actually pays.
A markup ratio of 2.07x means for every $100 Medicare pays, this provider initially charges $207. This is higher 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Llc Il | Wood Dale, IL | $446.2M | ⚠️ Flagged |
| Tempus Ai, Inc. | Chicago, IL | $213.4M | ⚠️ Flagged |
| Chicago Clinical Laboratories, Ltd | Northbrook, IL | $66.5M | ⚠️ Flagged |
| Lifescan Labs Of Illinois, Llc | Skokie, IL | $61.6M | ✓ Clear |
| Chicago Care Lab Services Llc | Chicago, IL | $56.7M | ⚠️ 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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