This provider's $8.5M in total Medicare payments ranks in the 89th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 154% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 226% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $50.48 | $16.03 | 3.15x | $34.45 | $370.9K | 26.4K | 18.5K |
| 2015 | $50.95 | $15.99 | 3.19x | $34.96 | $354.6K | 25.8K | 18.6K |
| 2016 | $49.42 | $16.79 | 2.94x | $32.63 | $341.6K | 24.9K | 17.8K |
| 2017 | $60.69 | $19.73 | 3.08x | $40.96 | $1.1M | 86.1K | 56.8K |
| 2018 | $62.01 | $19.18 | 3.23x | $42.83 | $1.3M | 101.1K | 66.0K |
| 2019 | $60.05 | $17.02 | 3.53x | $43.03 | $1.1M | 96.9K | 64.0K |
| 2020 | $62.45 | $17.39 | 3.59x | $45.06 | $994.9K | 93.8K | 64.7K |
| 2021 | $63.57 | $17.88 | 3.56x | $45.69 | $1.0M | 95.9K | 66.2K |
| 2022 | $66.22 | $17.78 | 3.72x | $48.44 | $946.9K | 88.9K | 62.1K |
| 2023 | $67.07 | $17.70 | 3.79x | $49.37 | $942.9K | 84.0K | 58.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 88.0K | $989.7K | $11.25 | 3.82x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 86.6K | $752.3K | $8.69 | 3.67x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 34.1K | $641.9K | $18.84 | 3.60x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 46.1K | $640.0K | $13.88 | 4.84x |
| 82306 | Vitamin D-3 level | 18.6K | $616.3K | $33.09 | 3.59x |
| 83036 | Hemoglobin A1C level | 34.5K | $368.8K | $10.70 | 3.64x |
| 80048 | Blood test, basic group of blood chemicals | 31.8K | $293.3K | $9.22 | 3.68x |
| 36415 | Insertion of needle into vein for collection of blood sample | 46.7K | $206.2K | $4.42 | 2.32x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 11.1K | $186.9K | $16.81 | 3.62x |
| 87086 | Bacterial colony count, urine | 20.1K | $182.3K | $9.08 | 3.63x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 8.5K | $177.5K | $20.83 | 3.55x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 3.7K | $150.3K | $41.16 | 3.32x |
| 84153 | PSA (prostate specific antigen) measurement | 6.4K | $132.2K | $20.68 | 3.57x |
| 84439 | Thyroxine (thyroid chemical) measurement | 13.0K | $126.5K | $9.74 | 3.39x |
| 83970 | Parathormone (parathyroid hormone) level | 2.7K | $123.5K | $45.57 | 3.62x |
| G0483 | Drug test(s), definitive, utilizing 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 (an | 474 | $114.6K | $241.71 | 1.11x |
| 85610 | Blood test, clotting time | 22.0K | $101.8K | $4.63 | 3.45x |
| 84481 | Thyroid hormone, T3 measurement | 5.4K | $101.3K | $18.88 | 3.60x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) | 10.7K | $97.5K | $9.15 | 3.29x |
| 82728 | Ferritin (blood protein) level | 5.7K | $86.7K | $15.18 | 3.62x |
This provider submits charges 3.63 times higher than what Medicare actually pays.
A markup ratio of 3.63x means for every $100 Medicare pays, this provider initially charges $363. 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 ND for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Medscan Laboratory Inc | Williston, ND | $64.3M | ✓ 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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