This provider's $26.6M in total Medicare payments ranks in the 96th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 961% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 227% 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 |
|---|---|---|---|---|---|---|---|
| 2018 | $287.98 | $182.73 | 1.58x | $105.25 | $739.5K | 4.0K | 5 |
| 2019 | $141.37 | $90.59 | 1.56x | $50.78 | $2.4M | 26.7K | 10 |
| 2020 | $79.38 | $53.32 | 1.49x | $26.06 | $3.1M | 57.5K | 12 |
| 2021 | $73.88 | $51.29 | 1.44x | $22.59 | $4.3M | 83.7K | 14 |
| 2022 | $60.45 | $45.23 | 1.34x | $15.22 | $8.2M | 182.2K | 19 |
| 2023 | $57.97 | $43.41 | 1.34x | $14.56 | $7.8M | 180.7K | 17 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 340.5K | $11.9M | $34.82 | 1.36x |
| 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 | 13.4K | $3.3M | $244.17 | 1.21x |
| 87507 | Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets | 3.4K | $1.4M | $408.86 | 1.53x |
| 87631 | Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets | 9.1K | $1.3M | $141.61 | 1.17x |
| 87633 | Detection test for multiple types of respiratory virus | 2.4K | $1.1M | $471.04 | 1.21x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 27.4K | $948.3K | $34.67 | 1.41x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 24.5K | $852.7K | $34.78 | 1.31x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 24.5K | $852.1K | $34.78 | 1.33x |
| 81226 | Gene analysis (cytochrome p450, family 2, subfamily d, polypeptide 6) common variants | 1.9K | $830.0K | $446.23 | 2.97x |
| 87486 | Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique | 18.0K | $636.5K | $35.40 | 1.28x |
| 87581 | Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique | 18.0K | $636.5K | $35.39 | 1.28x |
| 81225 | Gene analysis (cytochrome p450, family 2, subfamily c, polypeptide 19) common variants | 1.9K | $537.6K | $287.51 | 2.98x |
| 87541 | Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique | 15.4K | $535.0K | $34.79 | 1.27x |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 4.7K | $345.3K | $73.75 | 1.02x |
| 87529 | Detection test by nucleic acid for herpes simplex virus, amplified probe technique | 9.8K | $338.5K | $34.54 | 1.17x |
| 87634 | Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique | 4.7K | $326.9K | $69.05 | 1.09x |
| 87551 | Detection test by nucleic acid for mycobacteria species (bacteria), amplified probe technique | 4.1K | $191.5K | $46.83 | 1.02x |
| 0097U | Test for detection of gastrointestinal disease-causing organism using amplified probe | 528 | $190.8K | $361.36 | 1.51x |
| 87498 | Detection test by nucleic acid for enterovirus (intestinal virus), amplified probe technique | 5.0K | $171.9K | $34.54 | 1.16x |
| 87561 | Detection test by nucleic acid for mycobacteria avium-intracellulare (bacteria), amplified probe technique | 4.1K | $140.5K | $34.40 | 1.39x |
This provider submits charges 1.4 times higher than what Medicare actually pays.
A markup ratio of 1.4x means for every $100 Medicare pays, this provider initially charges $140. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Genomic Health, Inc. | Redwood City, CA | $887.6M | ✓ Clear |
| Unilab Corporation | West Hills, CA | $868.8M | ⚠️ Flagged |
| Caredx Inc. | Brisbane, CA | $751.0M | ✓ Clear |
| Laboratory Corporation Of America | San Diego, CA | $592.4M | ⚠️ Flagged |
| Millennium Health, Llc | San Diego, CA | $587.9M | ✓ 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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