This provider's $6.3M in total Medicare payments ranks in the 85th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 6.45x is significantly above the specialty median of 3.7x.
Medicare payments to this provider grew 235% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 359% in 2022
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 | $90.62 | $13.18 | 6.88x | $77.44 | $464.2K | 40.1K | 21.4K |
| 2015 | $87.05 | $12.80 | 6.80x | $74.25 | $440.1K | 36.1K | 21.9K |
| 2016 | $86.50 | $12.97 | 6.67x | $73.53 | $397.6K | 33.4K | 20.5K |
| 2017 | $86.36 | $13.81 | 6.25x | $72.55 | $427.3K | 33.9K | 21.6K |
| 2018 | $86.48 | $13.37 | 6.47x | $73.11 | $414.3K | 34.7K | 21.5K |
| 2019 | $91.11 | $12.74 | 7.15x | $78.37 | $353.1K | 31.6K | 20.1K |
| 2020 | $90.16 | $12.37 | 7.29x | $77.79 | $361.2K | 33.5K | 20.5K |
| 2021 | $94.31 | $12.74 | 7.40x | $81.57 | $340.2K | 31.4K | 20.3K |
| 2022 | $95.98 | $13.55 | 7.08x | $82.43 | $1.6M | 57.4K | 21.9K |
| 2023 | $112.37 | $16.85 | 6.67x | $95.52 | $1.6M | 59.3K | 23.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 20.9K | $1.5M | $73.50 | 4.76x |
| 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 | 20.8K | $509.9K | $24.50 | 3.06x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 20.2K | $464.3K | $22.99 | 3.26x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 23.0K | $451.0K | $19.57 | 8.99x |
| 82306 | Vitamin D-3 level | 12.1K | $406.7K | $33.63 | 7.48x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 22.7K | $304.6K | $13.42 | 12.03x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 30.9K | $280.8K | $9.10 | 7.23x |
| 80053 | Blood test, comprehensive group of blood chemicals | 25.4K | $280.7K | $11.03 | 11.52x |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge. | 23.2K | $230.1K | $9.90 | 1.02x |
| 83036 | Hemoglobin A1C level | 16.9K | $188.7K | $11.17 | 6.86x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 9.7K | $168.6K | $17.31 | 8.83x |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 24.7K | $130.6K | $5.28 | 1.13x |
| 84153 | PSA (prostate specific antigen) measurement | 5.4K | $117.9K | $21.82 | 6.94x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 2.6K | $110.6K | $42.35 | 5.92x |
| 82746 | Folic acid level | 6.3K | $110.4K | $17.65 | 8.60x |
| 80048 | Blood test, basic group of blood chemicals | 10.3K | $88.9K | $8.62 | 11.78x |
| 84439 | Thyroxine (thyroid chemical) measurement | 8.1K | $88.0K | $10.82 | 11.68x |
| 82728 | Ferritin (blood protein) level | 5.3K | $85.9K | $16.17 | 10.27x |
| 84480 | Thyroid hormone, T3 measurement | 4.4K | $74.4K | $16.90 | 8.95x |
| 83550 | Iron binding capacity | 6.1K | $62.9K | $10.34 | 6.47x |
This provider submits charges 6.45 times higher than what Medicare actually pays.
A markup ratio of 6.45x means for every $100 Medicare pays, this provider initially charges $645. 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 NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Raritan, NJ | $1.2B | ⚠️ Flagged |
| Quest Diagnostics Incorporated | Clifton, NJ | $927.2M | ⚠️ Flagged |
| Bioreference Health, Llc | Elmwood Park, NJ | $841.0M | ⚠️ Flagged |
| Accu Reference Medical Lab, Llc | Linden, NJ | $204.9M | ⚠️ Flagged |
| Aculabs Inc | East Brunswick, NJ | $91.5M | ✓ 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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