This provider's $13.7M in total Medicare payments ranks in the 93th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 5.01x is significantly above the specialty median of 3.7x.
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 | $83.76 | $21.16 | 3.96x | $62.60 | $1.8M | 135.5K | 87.8K |
| 2015 | $92.62 | $22.90 | 4.04x | $69.72 | $1.4M | 84.9K | 64.4K |
| 2016 | $101.15 | $24.77 | 4.08x | $76.38 | $1.2M | 60.4K | 45.9K |
| 2017 | $101.74 | $24.02 | 4.24x | $77.72 | $1.2M | 63.7K | 47.9K |
| 2018 | $105.91 | $25.67 | 4.13x | $80.24 | $1.5M | 86.3K | 58.8K |
| 2019 | $114.97 | $25.05 | 4.59x | $89.92 | $1.6M | 106.5K | 71.5K |
| 2020 | $111.40 | $23.93 | 4.66x | $87.47 | $1.5M | 101.9K | 67.6K |
| 2021 | $111.66 | $24.06 | 4.64x | $87.60 | $1.3M | 98.7K | 64.4K |
| 2022 | $117.14 | $25.91 | 4.52x | $91.23 | $1.1M | 92.3K | 60.2K |
| 2023 | $117.31 | $24.81 | 4.73x | $92.50 | $1.2M | 95.0K | 62.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 79.9K | $2.5M | $30.78 | 3.75x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 50.8K | $964.0K | $18.97 | 3.57x |
| 88342 | Tissue or cell analysis by immunologic technique | 14.4K | $490.5K | $34.13 | 3.99x |
| 36415 | Insertion of needle into vein for collection of blood sample | 120.6K | $429.7K | $3.56 | 5.10x |
| 82306 | Vitamin D-3 level | 12.3K | $416.1K | $33.79 | 3.95x |
| 80053 | Blood test, comprehensive group of blood chemicals | 33.3K | $389.4K | $11.69 | 11.54x |
| 84165 | Protein measurement, serum | 27.1K | $356.0K | $13.13 | 3.77x |
| 83970 | Parathormone (parathyroid hormone) level | 7.4K | $335.5K | $45.65 | 4.59x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 4.8K | $322.8K | $67.45 | 4.74x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 35.0K | $315.2K | $8.99 | 8.86x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 24.4K | $310.6K | $12.72 | 9.28x |
| 82728 | Ferritin (blood protein) level | 19.3K | $294.1K | $15.23 | 5.06x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 6.8K | $278.3K | $40.77 | 3.88x |
| 80048 | Blood test, basic group of blood chemicals | 26.4K | $249.2K | $9.44 | 11.11x |
| 84153 | PSA (prostate specific antigen) measurement | 11.5K | $239.6K | $20.81 | 3.92x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 13.8K | $233.3K | $16.89 | 4.80x |
| 87086 | Bacterial colony count, urine | 24.0K | $223.4K | $9.31 | 4.93x |
| 83550 | Iron binding capacity | 21.3K | $204.7K | $9.60 | 4.20x |
| 86334 | Immunologic analysis technique on serum | 11.1K | $174.1K | $15.63 | 5.60x |
| 87506 | Detection test for digestive tract pathogen | 603 | $161.3K | $267.52 | 2.90x |
This provider submits charges 5.01 times higher than what Medicare actually pays.
A markup ratio of 5.01x means for every $100 Medicare pays, this provider initially charges $501. 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 ND for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Medscan Laboratory Inc | Williston, ND | $64.3M | ✓ 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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