This provider's $5.1M in total Medicare payments ranks in the 81th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 5.06x is significantly above the specialty median of 3.7x.
98% of their billing comes from a single procedure code (81455 — Test for detecting genes associated with cancer).
AI-generated analysis based on Medicare payment data.
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $7.4K | $1.5K | 5.02x | $5.9K | $1.3M | 897 | 847 |
| 2022 | $6.1K | $1.3K | 4.54x | $4.8K | $1.8M | 1.3K | 1.3K |
| 2023 | $4.0K | $800.03 | 4.95x | $3.2K | $1.9M | 895 | 854 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81455 | Test for detecting genes associated with cancer | 1.7K | $5.0M | $2.9K | 5.06x |
| G0452 | Molecular pathology procedure; physician interpretation and report | 1.3K | $50.6K | $38.34 | 5.24x |
| 81307 | Gene analysis (partner and localizer of brca2) full sequence analysis | 48 | $32.3K | $673.40 | 4.99x |
| 81162 | Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants | 12 | $21.7K | $1.8K | 3.54x |
| 81206 | Translocation analysis (bcr/abl1) major breakpoint | 13 | $2.1K | $160.68 | 3.57x |
| 81207 | Translocation analysis (bcr/abl1) minor breakpoint | 13 | $1.8K | $141.94 | 3.57x |
This provider submits charges 5.06 times higher than what Medicare actually pays.
A markup ratio of 5.06x means for every $100 Medicare pays, this provider initially charges $506. 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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