This provider's $20.2M in total Medicare payments ranks in the 95th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 107% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 335% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $41.86 | $22.50 | 1.86x | $19.36 | $893.4K | 48.1K | 28.4K |
| 2015 | $64.33 | $26.68 | 2.41x | $37.65 | $856.7K | 27.5K | 13.4K |
| 2016 | $123.93 | $74.86 | 1.66x | $49.07 | $239.1K | 2.2K | 926 |
| 2017 | $329.66 | $159.99 | 2.06x | $169.67 | $292.3K | 1.9K | 973 |
| 2018 | $330.00 | $154.52 | 2.14x | $175.48 | $507.4K | 3.5K | 1.7K |
| 2019 | $330.00 | $153.14 | 2.15x | $176.86 | $753.6K | 5.3K | 2.2K |
| 2020 | $275.00 | $117.82 | 2.33x | $157.18 | $1.4M | 14.3K | 6.9K |
| 2021 | $121.60 | $58.40 | 2.08x | $63.20 | $6.3M | 128.6K | 17.3K |
| 2022 | $65.91 | $30.06 | 2.19x | $35.85 | $7.1M | 151.2K | 21.8K |
| 2023 | $54.20 | $23.92 | 2.27x | $30.28 | $1.8M | 53.1K | 27.6K |
| 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 | 122.4K | $9.3M | $75.74 | 5.28x |
| 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 | 113.4K | $2.8M | $24.84 | 6.04x |
| G0481 | Drug test def 8-14 classes | 8.3K | $1.2M | $149.41 | 2.02x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 47.7K | $1.1M | $23.37 | 1.28x |
| G0482 | Drug test def 15-21 classes | 5.7K | $1.1M | $195.23 | 2.10x |
| G0483 | Drug test def 22+ classes | 4.4K | $1.1M | $243.77 | 2.08x |
| 80307 | Testing for presence of drug | 11.2K | $710.8K | $63.36 | 2.53x |
| 84999 | Chemistry procedures | 2.9K | $380.8K | $132.23 | 1.97x |
| G0480 | Drug test def 1-7 classes | 3.2K | $350.8K | $111.34 | 2.10x |
| 82649 | Dihydromorphinone (drug) level | 3.0K | $104.0K | $34.12 | 1.47x |
| 83992 | PCP drug level | 4.5K | $88.6K | $19.55 | 2.09x |
| 86328 | Ia nfct ab sarscov2 covid19 | 1.9K | $85.6K | $45.23 | 2.65x |
| 80299 | Quantitation of drug | 4.6K | $83.8K | $18.23 | 2.32x |
| 82646 | Dihydrocodeinone (drug) measurement | 3.0K | $83.6K | $27.42 | 1.82x |
| 83925 | Opiates (drug) measurement | 3.1K | $80.7K | $25.82 | 1.94x |
| 87426 | Elisa detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 2.3K | $79.3K | $35.14 | 2.85x |
| 87637 | Sarscov2&inf a&b&rsv amp prb | 562 | $78.6K | $139.90 | 1.54x |
| 82542 | Chemical analysis using chromatography technique | 3.1K | $74.7K | $23.88 | 1.88x |
| 80154 | Benzodiazepines level | 2.8K | $68.3K | $24.58 | 1.91x |
| 84311 | Chemical analysis using spectrophotometry (light) | 7.2K | $67.1K | $9.31 | 2.15x |
This provider submits charges 4.08 times higher than what Medicare actually pays.
A markup ratio of 4.08x means for every $100 Medicare pays, this provider initially charges $408. 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 NC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Burlington, NC | $2.2B | ⚠️ Flagged |
| Pathgroup Labs, Llc | Greensboro, NC | $203.7M | ⚠️ Flagged |
| Mako Medical Laboratories, Llc | Raleigh, NC | $107.0M | ✓ Clear |
| Quest Diagnostics Clinical Laboratories Inc | Greensboro, NC | $69.3M | ⚠️ Flagged |
| Laboratory Corporation Of America Holdings | Research Triangle Park, NC | $65.4M | ✓ 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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