Statistical flag only — not an accusation of fraud
This provider's $32.7M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 16.86x is significantly above the specialty median of 3.7x.
Medicare payments to this provider grew 914% from 2018 to 2023.
This provider has been statistically flagged with a risk score of 81/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1990% 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 | $95.34 | $7.59 | 12.56x | $87.75 | $316.2K | 41.7K | 6 |
| 2019 | $101.86 | $6.88 | 14.81x | $94.98 | $6.6M | 960.0K | 47 |
| 2020 | $117.84 | $7.23 | 16.30x | $110.61 | $8.4M | 1.2M | 47 |
| 2021 | $143.17 | $8.33 | 17.19x | $134.84 | $8.1M | 978.7K | 47 |
| 2022 | $150.37 | $8.33 | 18.05x | $142.04 | $6.0M | 725.5K | 45 |
| 2023 | $133.88 | $6.76 | 19.80x | $127.12 | $3.2M | 474.5K | 44 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 84460 | Liver enzyme (sgpt), level | 3.4M | $18.5M | $5.38 | 17.16x |
| 83036 | Hemoglobin a1c level | 559.4K | $5.5M | $9.86 | 17.17x |
| 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 | 53.9K | $4.3M | $80.01 | 15.61x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 111.3K | $1.5M | $13.53 | 17.29x |
| 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 | 39.2K | $975.4K | $24.87 | 12.73x |
| 87522 | Detection test by nucleic acid for hepatitis c virus, quantification | 17.0K | $736.3K | $43.29 | 11.55x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 33.2K | $565.7K | $17.01 | 17.26x |
| 83970 | Parathormone (parathyroid hormone) level | 4.5K | $125.6K | $27.75 | 26.29x |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 1.3K | $62.9K | $50.24 | 26.97x |
| 83615 | Lactate dehydrogenase (enzyme) level | 12.5K | $59.7K | $4.79 | 21.85x |
| 84450 | Liver enzyme (sgot), level | 12.9K | $52.9K | $4.12 | 21.81x |
| 82728 | Ferritin (blood protein) level | 5.1K | $48.5K | $9.47 | 25.39x |
| 86803 | Hepatitis c antibody measurement | 3.9K | $43.3K | $11.19 | 22.19x |
| 83550 | Iron binding capacity | 5.2K | $30.2K | $5.86 | 26.33x |
| 83540 | Iron level | 5.4K | $22.9K | $4.26 | 26.81x |
| 84100 | Phosphate level | 6.5K | $21.0K | $3.21 | 26.00x |
| 82310 | Calcium level, total | 5.7K | $20.0K | $3.49 | 25.99x |
| 87340 | Detection test by immunoassay technique for hepatitis b surface antigen | 2.0K | $13.3K | $6.68 | 27.45x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 2.4K | $11.5K | $4.82 | 28.40x |
| 82306 | Vitamin d-3 level | 580 | $11.1K | $19.05 | 27.56x |
This provider submits charges 16.86 times higher than what Medicare actually pays.
A markup ratio of 16.86x means for every $100 Medicare pays, this provider initially charges $1686. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Clinical Laboratories Inc | Tampa, FL | $1.0B | ⚠️ Flagged |
| Laboratory Corporation Of America | Tampa, FL | $463.1M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Miramar, FL | $417.1M | ⚠️ Flagged |
| American Health S, Llc | Davie, FL | $175.7M | ✓ Clear |
| Ameripath Florida Llc | Pompano Beach, FL | $80.1M | ✓ 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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