This provider's $253.0M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 126% from 2014 to 2023.
84% of their billing comes from a single procedure code (81479 — Molecular pathology procedure).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 99% in 2021
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 | $772.55 | $370.08 | 2.09x | $402.47 | $12.1M | 32.7K | 5 |
| 2015 | $2.1K | $1.1K | 1.87x | $997.63 | $21.7M | 19.0K | 7 |
| 2016 | $5.5K | $2.1K | 2.57x | $3.3K | $27.9M | 13.1K | 2 |
| 2017 | $5.5K | $2.1K | 2.57x | $3.3K | $31.5M | 14.7K | 1 |
| 2018 | $5.4K | $2.1K | 2.57x | $3.3K | $37.0M | 17.4K | 5 |
| 2019 | $5.0K | $1.9K | 2.58x | $3.0K | $30.5M | 15.8K | 7 |
| 2020 | $4.4K | $1.6K | 2.77x | $2.8K | $13.3M | 8.4K | 6 |
| 2021 | $4.4K | $1.4K | 3.20x | $3.0K | $26.5M | 19.2K | 3 |
| 2022 | $3.8K | $1.2K | 3.24x | $2.6K | $25.3M | 21.4K | 5 |
| 2023 | $4.1K | $1.0K | 3.99x | $3.1K | $27.3M | 26.7K | 4 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81479 | Molecular pathology procedure | 114.1K | $211.8M | $1.9K | 2.62x |
| 0345U | Genomic analysis panel of 15 genes for detection of abnormalities assocated with mental health disorders | 20.4K | $27.5M | $1.3K | 4.09x |
| 81226 | Gene analysis (cytochrome p450, family 2, subfamily d, polypeptide 6) common variants | 15.6K | $6.8M | $439.92 | 2.85x |
| 81225 | Gene analysis (cytochrome p450, family 2, subfamily c, polypeptide 19) common variants | 15.9K | $4.5M | $285.04 | 2.39x |
| 81227 | Gene analysis (cytochrome p450, family 2, subfamily c, polypeptide 9) common variants | 7.9K | $1.3M | $170.47 | 2.77x |
| 81291 | Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants | 13.2K | $767.8K | $58.26 | 2.57x |
| 81381 | Hla class i typing high resolution one allele or allele group | 958 | $131.4K | $137.11 | 4.25x |
| 81230 | Gene analysis (cytochrome p450 family 3 subfamily a member 4) for common variant | 309 | $45.3K | $146.75 | 4.80x |
| 81401 | Molecular pathology procedure level 2 | 18 | $1.4K | $78.21 | 15.34x |
This provider submits charges 2.78 times higher than what Medicare actually pays.
A markup ratio of 2.78x means for every $100 Medicare pays, this provider initially charges $278. 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 OH for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Dublin, OH | $659.2M | ⚠️ Flagged |
| American Health Mw, Llc | Cincinnati, OH | $178.9M | ✓ Clear |
| Cleveland Heartlab Inc | Cleveland, OH | $91.8M | ⚠️ Flagged |
| Compunet Clinical Laboratories Llc | Moraine, OH | $77.5M | ✓ Clear |
| University Hospitals Laboratory Services Foundation | Cleveland, OH | $62.8M | ✓ 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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