Statistical flag only — not an accusation of fraud
This provider's $204.9M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 75% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 66/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
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 | $19.95 | $13.23 | 1.51x | $6.72 | $12.1M | 916.5K | 250 |
| 2015 | $19.13 | $13.69 | 1.40x | $5.44 | $15.1M | 1.1M | 270 |
| 2016 | $19.48 | $13.87 | 1.40x | $5.61 | $16.2M | 1.2M | 277 |
| 2017 | $20.89 | $15.53 | 1.35x | $5.36 | $17.4M | 1.1M | 291 |
| 2018 | $25.83 | $17.76 | 1.45x | $8.07 | $18.9M | 1.1M | 292 |
| 2019 | $28.76 | $18.18 | 1.58x | $10.58 | $20.8M | 1.1M | 305 |
| 2020 | $39.16 | $24.78 | 1.58x | $14.38 | $24.8M | 1.0M | 289 |
| 2021 | $42.68 | $26.14 | 1.63x | $16.54 | $33.2M | 1.3M | 281 |
| 2022 | $34.70 | $22.13 | 1.57x | $12.57 | $25.3M | 1.1M | 301 |
| 2023 | $27.60 | $18.32 | 1.51x | $9.28 | $21.2M | 1.2M | 313 |
| 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 | 292.2K | $23.7M | $81.14 | 1.85x |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 59.6K | $14.5M | $243.00 | 1.37x |
| 82306 | Vitamin d-3 level | 351.7K | $12.1M | $34.30 | 1.35x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 513.1K | $10.0M | $19.55 | 1.33x |
| 80053 | Blood test, comprehensive group of blood chemicals | 738.1K | $7.9M | $10.76 | 1.40x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 574.2K | $7.8M | $13.56 | 1.54x |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 37.4K | $7.3M | $194.57 | 1.35x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 771.7K | $7.0M | $9.06 | 1.32x |
| 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 | 230.5K | $5.7M | $24.91 | 1.21x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 155.7K | $5.5M | $35.24 | 1.68x |
| 83036 | Hemoglobin a1c level | 444.1K | $5.0M | $11.21 | 1.24x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 236.6K | $4.1M | $17.31 | 1.36x |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 25.4K | $3.8M | $150.20 | 1.30x |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 27.9K | $3.0M | $105.97 | 1.15x |
| 82746 | Folic acid level, serum | 175.2K | $2.9M | $16.84 | 1.34x |
| 84439 | Thyroxine (thyroid chemical), free | 254.1K | $2.6M | $10.38 | 1.36x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 39.1K | $2.6M | $66.68 | 4.36x |
| 84153 | Psa (prostate specific antigen) measurement, total | 111.8K | $2.4M | $21.71 | 1.31x |
| 86769 | Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody | 49.7K | $2.1M | $41.84 | 1.42x |
| 36415 | Insertion of needle into vein for collection of blood sample | 535.7K | $2.0M | $3.72 | 3.96x |
This provider submits charges 1.52 times higher than what Medicare actually pays.
A markup ratio of 1.52x means for every $100 Medicare pays, this provider initially charges $152. 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 NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Raritan, NJ | $1.2B | ⚠️ Flagged |
| Quest Diagnostics Incorporated | Clifton, NJ | $927.2M | ⚠️ Flagged |
| Bioreference Health, Llc | Elmwood Park, NJ | $841.0M | ⚠️ Flagged |
| Aculabs Inc | East Brunswick, NJ | $91.5M | ✓ Clear |
| Siparadigm Llc | Pine Brook, NJ | $70.1M | ✓ 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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