This provider's $498.0M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 1748% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 165% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $7.7K | $3.3K | 2.32x | $4.4K | $9.4M | 2.8K | 1 |
| 2019 | $8.2K | $3.4K | 2.40x | $4.8K | $23.6M | 6.9K | 1 |
| 2020 | $8.5K | $3.4K | 2.47x | $5.0K | $62.6M | 18.3K | 1 |
| 2021 | $9.1K | $4.0K | 2.27x | $5.1K | $97.9M | 24.4K | 3 |
| 2022 | $9.0K | $4.2K | 2.15x | $4.8K | $130.0M | 31.2K | 5 |
| 2023 | $8.8K | $4.1K | 2.15x | $4.7K | $174.5M | 42.9K | 6 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 0242U | Gene analysis of 55-74 genes associated with solid organ cancer in cell-free circulating dna, targeted genomic sequence analysis panel | 46.6K | $229.8M | $4.9K | 1.74x |
| 81479 | Molecular pathology procedure | 51.6K | $178.4M | $3.5K | 2.58x |
| 0326U | Targeted genomic sequence analysis of 83 or more genes in cell free circulating dna for detection of abnormalities associated with solid organ cancers | 23.6K | $82.8M | $3.5K | 2.75x |
| 0334U | Targeted genomic sequence analysis of 84 or more genes for detection of abnormalities associated with cancer of body organ | 2.3K | $6.6M | $2.9K | 3.38x |
| 88360 | Microscopic genetic analysis of tumor, manual | 2.3K | $268.8K | $116.57 | 2.07x |
This provider submits charges 2.23 times higher than what Medicare actually pays.
A markup ratio of 2.23x means for every $100 Medicare pays, this provider initially charges $223. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Genomic Health, Inc. | Redwood City, CA | $887.6M | ✓ Clear |
| Unilab Corporation | West Hills, CA | $868.8M | ⚠️ Flagged |
| Caredx Inc. | Brisbane, CA | $751.0M | ✓ Clear |
| Laboratory Corporation Of America | San Diego, CA | $592.4M | ⚠️ Flagged |
| Millennium Health, Llc | San Diego, CA | $587.9M | ✓ 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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