This provider's $44.1M in total Medicare payments ranks in the 98th 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 55% 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 | $232.12 | $63.10 | 3.68x | $169.02 | $3.5M | 55.3K | 20.0K |
| 2015 | $204.03 | $63.10 | 3.23x | $140.93 | $4.5M | 71.4K | 25.9K |
| 2016 | $105.67 | $63.10 | 1.67x | $42.57 | $3.6M | 56.8K | 20.6K |
| 2017 | $101.32 | $63.10 | 1.61x | $38.22 | $5.6M | 88.1K | 31.9K |
| 2018 | $140.54 | $63.10 | 2.23x | $77.44 | $4.0M | 63.2K | 22.9K |
| 2019 | $181.15 | $63.10 | 2.87x | $118.05 | $5.0M | 79.5K | 28.8K |
| 2020 | $221.64 | $63.10 | 3.51x | $158.54 | $4.9M | 77.5K | 28.1K |
| 2021 | $146.42 | $63.10 | 2.32x | $83.32 | $4.2M | 66.8K | 24.2K |
| 2022 | $157.15 | $63.10 | 2.49x | $94.05 | $4.6M | 73.2K | 26.5K |
| 2023 | $193.62 | $63.10 | 3.07x | $130.52 | $4.3M | 67.6K | 24.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Comprehensive metabolic panel | 225.4K | $16.1M | $71.58 | 3.84x |
| 80061 | Lipid panel | 31.1K | $3.7M | $118.80 | 2.90x |
| 85025 | Complete blood cell count with differential | 54.5K | $3.2M | $58.61 | 3.80x |
| 84443 | Thyroid stimulating hormone (TSH) level | 24.7K | $2.8M | $113.85 | 4.14x |
| 83036 | Hemoglobin A1c level | 45.4K | $2.1M | $46.91 | 2.71x |
| 82306 | Vitamin D-3 level | 31.2K | $1.9M | $60.25 | 4.65x |
| 80048 | Blood test, basic group of blood chemicals | 22.5K | $1.7M | $74.15 | 4.01x |
| 84153 | PSA (prostate specific antigen) measurement | 32.9K | $1.5M | $44.68 | 4.39x |
| 82728 | Ferritin (blood protein) level | 18.7K | $1.3M | $71.52 | 3.84x |
| 87086 | Bacterial colony count, urine | 12.8K | $982.1K | $77.01 | 5.44x |
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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Clinical Pathology Laboratories, Inc. | Austin, TX | $541.0M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Irving, TX | $453.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Dallas, TX | $389.6M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Houston, TX | $311.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Houston, TX | $299.4M | ⚠️ 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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