Statistical flag only — not an accusation of fraud
This provider's $14.5M in total Medicare payments ranks in the 93th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 13091% from 2020 to 2023.
This provider has been statistically flagged with a risk score of 84/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 5803% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $14.72 | $10.85 | 1.36x | $3.87 | $50.1K | 4.6K | 15 |
| 2021 | $12.66 | $9.75 | 1.30x | $2.91 | $3.0M | 303.3K | 90 |
| 2022 | $12.82 | $8.54 | 1.50x | $4.28 | $4.9M | 568.6K | 88 |
| 2023 | $12.15 | $10.13 | 1.20x | $2.02 | $6.6M | 652.0K | 107 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87150 | Identification of organisms by genetic analysis, amplified probe technique | 83.9K | $2.9M | $34.66 | 1.43x |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 209.6K | $2.2M | $10.35 | 1.20x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 43.1K | $1.5M | $34.37 | 1.04x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 14.2K | $982.5K | $69.34 | 1.49x |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 113.6K | $798.6K | $7.03 | 1.18x |
| 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 | 702.5K | $733.4K | $1.04 | 1.14x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 20.3K | $700.2K | $34.48 | 1.17x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 60.7K | $465.7K | $7.67 | 1.61x |
| 80053 | Blood test, comprehensive group of blood chemicals | 43.7K | $455.8K | $10.43 | 1.61x |
| 87187 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution, each plate | 10.7K | $423.7K | $39.57 | 1.46x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 10.2K | $353.7K | $34.57 | 1.30x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 19.2K | $318.3K | $16.59 | 1.29x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 32.2K | $273.7K | $8.51 | 1.53x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 7.1K | $246.2K | $34.65 | 1.42x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 16.1K | $212.3K | $13.22 | 1.63x |
| 83036 | Hemoglobin a1c level | 19.1K | $183.3K | $9.59 | 1.14x |
| 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 | 2.1K | $160.7K | $77.66 | 1.79x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 3.7K | $143.1K | $38.74 | 1.48x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 16.2K | $135.4K | $8.36 | 1.62x |
| 82306 | Vitamin d-3 level | 4.4K | $127.5K | $29.22 | 1.27x |
This provider submits charges 1.32 times higher than what Medicare actually pays.
A markup ratio of 1.32x means for every $100 Medicare pays, this provider initially charges $132. 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 OK for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Diagnostic Laboratory Of Oklahoma Llc | Oklahoma City, OK | $129.7M | ⚠️ Flagged |
| Saint Francis Outreach Services Llc | Tulsa, OK | $50.6M | ⚠️ Flagged |
| Dianon Systems Inc | Oklahoma City, OK | $37.7M | ✓ 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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