This provider's $340.6M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 61% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $22.56 | $12.76 | 1.77x | $9.80 | $21.3M | 1.7M | 1.1M |
| 2015 | $45.15 | $12.76 | 3.54x | $32.39 | $32.0M | 2.5M | 1.6M |
| 2016 | $47.87 | $12.76 | 3.75x | $35.11 | $37.2M | 2.9M | 1.9M |
| 2017 | $33.56 | $12.76 | 2.63x | $20.80 | $28.9M | 2.3M | 1.5M |
| 2018 | $26.97 | $12.76 | 2.11x | $14.21 | $32.2M | 2.5M | 1.6M |
| 2019 | $27.03 | $12.76 | 2.12x | $14.27 | $29.3M | 2.3M | 1.5M |
| 2020 | $25.15 | $12.76 | 1.97x | $12.39 | $47.4M | 3.7M | 2.4M |
| 2021 | $29.45 | $12.76 | 2.31x | $16.69 | $38.2M | 3.0M | 2.0M |
| 2022 | $22.44 | $12.76 | 1.76x | $9.68 | $39.8M | 3.1M | 2.0M |
| 2023 | $44.90 | $12.76 | 3.52x | $32.14 | $34.3M | 2.7M | 1.7M |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Comprehensive metabolic panel | 5.2M | $91.1M | $17.39 | 3.06x |
| 85025 | Complete blood cell count with differential | 2.4M | $59.2M | $24.39 | 5.03x |
| 80061 | Lipid panel | 4.0M | $36.3M | $9.01 | 3.90x |
| 82306 | Vitamin D-3 level | 1.6M | $18.3M | $11.36 | 4.50x |
| 82728 | Ferritin (blood protein) level | 1.1M | $17.1M | $14.98 | 4.75x |
| 84443 | Thyroid stimulating hormone (TSH) level | 1.1M | $12.7M | $11.91 | 5.65x |
| 80048 | Blood test, basic group of blood chemicals | 718.7K | $10.6M | $14.77 | 3.61x |
| 84153 | PSA (prostate specific antigen) measurement | 766.6K | $9.5M | $12.40 | 4.32x |
| 83036 | Hemoglobin A1c level | 635.4K | $9.3M | $14.57 | 2.90x |
| 87086 | Bacterial colony count, urine | 625.3K | $8.4M | $13.38 | 5.12x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. 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 PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Of Pennsylvania, Inc. | Pittsburgh, PA | $130.4M | ⚠️ Flagged |
| Health Network Laboratories, Llc | Allentown, PA | $125.3M | ⚠️ Flagged |
| Sma Medical, Inc. | Feasterville, PA | $100.9M | ✓ Clear |
| Interpace Diagnostics Corporation | Pittsburgh, PA | $95.6M | ✓ Clear |
| Silverpath, Inc. | Blue Bell, PA | $94.2M | ⚠️ Flagged |
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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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