This provider's $28.6M in total Medicare payments ranks in the 97th 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.
Notable: Payments increased 84% 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 | $48.34 | $21.90 | 2.21x | $26.44 | $3.6M | 252.7K | 131.7K |
| 2015 | $48.97 | $22.18 | 2.21x | $26.79 | $3.8M | 254.4K | 130.3K |
| 2016 | $46.74 | $21.00 | 2.23x | $25.74 | $2.5M | 162.2K | 91.3K |
| 2017 | $46.43 | $21.32 | 2.18x | $25.11 | $4.6M | 308.6K | 179.0K |
| 2018 | $47.50 | $20.96 | 2.27x | $26.54 | $5.2M | 372.8K | 205.1K |
| 2019 | $49.97 | $19.31 | 2.59x | $30.66 | $4.3M | 341.5K | 189.8K |
| 2020 | $50.84 | $18.67 | 2.72x | $32.17 | $4.6M | 295.5K | 174.5K |
| 2021 | $102.22 | $63.23 | 1.62x | $38.99 | $27.8K | 345 | 194 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0480 | Drug test def 1-7 classes | 19.5K | $2.1M | $107.11 | 1.46x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 90.3K | $1.8M | $20.43 | 2.36x |
| 82306 | Vitamin D-3 level | 48.2K | $1.7M | $35.90 | 2.32x |
| 80307 | Testing for presence of drug | 24.4K | $1.7M | $69.70 | 2.01x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 107.1K | $1.5M | $14.09 | 2.73x |
| 80053 | Blood test, comprehensive group of blood chemicals | 127.0K | $1.5M | $11.88 | 2.42x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 15.4K | $1.5M | $97.02 | 1.44x |
| U0003 | 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, making use of high throughput technologies as described by cms-2020-01-r | 14.7K | $1.5M | $99.89 | 1.08x |
| 36415 | Insertion of needle into vein for collection of blood sample | 362.6K | $1.1M | $2.95 | 2.04x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 104.4K | $981.0K | $9.39 | 2.36x |
| 83036 | Hemoglobin A1C level | 82.7K | $971.6K | $11.75 | 2.37x |
| 80048 | Blood test, basic group of blood chemicals | 87.7K | $824.0K | $9.40 | 2.44x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 32.8K | $595.7K | $18.14 | 2.32x |
| 85610 | Blood test, clotting time | 108.1K | $527.6K | $4.88 | 2.30x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 62.1K | $488.2K | $7.87 | 2.36x |
| G0479 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when | 5.6K | $433.5K | $77.49 | 1.81x |
| 83970 | Parathormone (parathyroid hormone) level | 8.4K | $415.8K | $49.59 | 2.39x |
| 87086 | Bacterial colony count, urine | 41.3K | $408.2K | $9.87 | 2.34x |
| 87631 | Detection test for respiratory virus, multiplex reverse transcription and amplified probe technique, multiple types or subtypes, 3-5 targets | 2.6K | $395.3K | $152.74 | 2.31x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 8.6K | $350.2K | $40.52 | 2.22x |
This provider submits charges 2.16 times higher than what Medicare actually pays.
A markup ratio of 2.16x means for every $100 Medicare pays, this provider initially charges $216. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Northwell Health Laboratories | New Hyde Park, NY | $299.4M | ⚠️ Flagged |
| Sunrise Medical Laboratories, Inc. | Hicksville, NY | $281.2M | ⚠️ Flagged |
| Lenco Diagnostic Laboratories,inc. | Brooklyn, NY | $101.5M | ⚠️ Flagged |
| Enzo Clinical Labs, Inc. | Farmingdale, NY | $100.1M | ⚠️ Flagged |
| Cblpath, Inc | Rye Brook, NY | $94.4M | ✓ 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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