This provider's $25.0M in total Medicare payments ranks in the 96th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 11.3x is significantly above the specialty median of 3.7x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 58% in 2018
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 | $143.69 | $14.26 | 10.08x | $129.43 | $7.3M | 806.3K | 203.8K |
| 2015 | $147.33 | $14.21 | 10.37x | $133.12 | $4.9M | 591.8K | 131.7K |
| 2016 | $126.23 | $8.10 | 15.58x | $118.13 | $2.8M | 311.9K | 97.1K |
| 2017 | $133.52 | $7.30 | 18.29x | $126.22 | $3.4M | 382.4K | 118.7K |
| 2018 | $141.94 | $7.23 | 19.63x | $134.71 | $5.3M | 701.5K | 157.6K |
| 2019 | $151.62 | $7.31 | 20.74x | $144.31 | $1.3M | 182.5K | 86.0K |
| 2020 | $185.45 | $8.21 | 22.59x | $177.24 | $1.7K | 239 | 223 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 84460 | Liver enzyme (SGPT), level | 2.1M | $13.9M | $6.65 | 11.35x |
| 83036 | Hemoglobin A1C level | 481.3K | $6.1M | $12.59 | 10.89x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 104.2K | $1.6M | $15.62 | 11.90x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 37.8K | $829.8K | $21.98 | 10.63x |
| 86803 | Hepatitis C antibody measurement | 37.2K | $702.7K | $18.90 | 9.93x |
| 87522 | Detection test for Hepatitis C virus | 8.0K | $441.0K | $54.93 | 7.42x |
| 85610 | Blood test, clotting time | 44.2K | $231.6K | $5.24 | 10.03x |
| 80162 | Digoxin level | 5.0K | $87.9K | $17.74 | 9.97x |
| 83970 | Parathormone (parathyroid hormone) level | 3.0K | $78.1K | $25.79 | 23.73x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 2.8K | $67.7K | $24.56 | 10.02x |
| 82247 | Bilirubin level | 16.5K | $67.1K | $4.08 | 16.49x |
| 80185 | Phenytoin level | 3.1K | $55.2K | $17.71 | 10.01x |
| 82947 | Blood glucose (sugar) level | 14.8K | $55.1K | $3.72 | 13.67x |
| 84550 | Uric acid level, blood | 11.0K | $49.4K | $4.51 | 13.43x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 5.5K | $45.1K | $8.25 | 13.20x |
| 84450 | Liver enzyme (SGOT), level | 10.0K | $35.0K | $3.50 | 20.92x |
| 83615 | Lactate dehydrogenase (enzyme) level | 7.4K | $29.0K | $3.90 | 22.25x |
| 87086 | Bacterial colony count, urine | 2.6K | $28.0K | $10.77 | 10.03x |
| 84153 | PSA (prostate specific antigen) measurement | 1.1K | $27.0K | $24.53 | 10.05x |
| 84436 | Thyroxine (thyroid chemical) measurement | 2.6K | $23.4K | $9.17 | 9.98x |
This provider submits charges 11.3 times higher than what Medicare actually pays.
A markup ratio of 11.3x means for every $100 Medicare pays, this provider initially charges $1130. 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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