This provider's $24.8M in total Medicare payments ranks in the 96th 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 66% in 2019
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 | $53.21 | $20.48 | 2.60x | $32.73 | $1.5M | 129.1K | 87.9K |
| 2015 | $53.12 | $19.67 | 2.70x | $33.45 | $1.5M | 129.4K | 88.9K |
| 2016 | $53.86 | $20.41 | 2.64x | $33.45 | $2.0M | 161.0K | 113.1K |
| 2017 | $55.23 | $21.14 | 2.61x | $34.09 | $2.0M | 158.1K | 113.1K |
| 2018 | $57.11 | $22.63 | 2.52x | $34.48 | $2.1M | 157.6K | 115.7K |
| 2019 | $61.97 | $21.08 | 2.94x | $40.89 | $3.5M | 288.9K | 214.6K |
| 2020 | $64.50 | $19.07 | 3.38x | $45.43 | $3.4M | 226.1K | 172.0K |
| 2021 | $68.04 | $19.58 | 3.47x | $48.46 | $3.3M | 216.5K | 161.0K |
| 2022 | $71.15 | $19.37 | 3.67x | $51.78 | $3.1M | 205.8K | 153.1K |
| 2023 | $80.33 | $21.20 | 3.79x | $59.13 | $2.3M | 188.5K | 143.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 32.7K | $2.6M | $80.27 | 1.64x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 84.0K | $1.6M | $18.70 | 2.91x |
| 80048 | Blood test, basic group of blood chemicals | 173.3K | $1.5M | $8.86 | 3.55x |
| 83036 | Hemoglobin A1C level | 118.4K | $1.3M | $10.64 | 3.15x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 96.1K | $1.3M | $13.08 | 3.44x |
| 82306 | Vitamin D-3 level | 24.8K | $824.7K | $33.28 | 2.70x |
| 83970 | Parathormone (parathyroid hormone) level | 17.2K | $789.5K | $45.79 | 2.75x |
| 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 | 22.4K | $544.0K | $24.25 | 1.36x |
| 87507 | Detection test for digestive tract pathogen | 1.1K | $459.3K | $424.87 | 2.15x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 50.9K | $456.0K | $8.96 | 3.62x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 27.6K | $453.9K | $16.47 | 2.92x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 54.9K | $418.7K | $7.63 | 3.30x |
| 80053 | Blood test, comprehensive group of blood chemicals | 36.8K | $388.1K | $10.54 | 3.59x |
| 87506 | Detection test for digestive tract pathogen | 1.3K | $335.1K | $259.35 | 1.77x |
| 82565 | Blood creatinine level | 70.2K | $330.1K | $4.70 | 4.38x |
| 84460 | Liver enzyme (SGPT), level | 65.9K | $314.5K | $4.77 | 4.13x |
| 84153 | PSA (prostate specific antigen) measurement | 15.0K | $300.1K | $19.98 | 2.98x |
| 87086 | Bacterial colony count, urine | 33.0K | $293.2K | $8.89 | 4.14x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 14.3K | $286.2K | $20.07 | 3.28x |
| 82728 | Ferritin (blood protein) level | 18.7K | $276.6K | $14.82 | 2.96x |
This provider submits charges 3.03 times higher than what Medicare actually pays.
A markup ratio of 3.03x means for every $100 Medicare pays, this provider initially charges $303. 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 MN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Mayo Collaborative Services, Inc | Rochester, MN | $63.5M | ⚠️ Flagged |
| Mayo Clinic | Rochester, MN | $45.5M | ⚠️ 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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