This provider's $3.7M in total Medicare payments ranks in the 74th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 5064% from 2022 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 5064% in 2023
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2022 | $72.63 | $47.23 | 1.54x | $25.40 | $69.5K | 1.5K | 10 |
| 2023 | $81.44 | $63.73 | 1.28x | $17.71 | $3.6M | 56.3K | 64 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 5.5K | $1.3M | $241.99 | 1.28x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 14.1K | $484.7K | $34.40 | 1.28x |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 2.4K | $457.9K | $194.77 | 1.28x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 6.4K | $387.6K | $60.90 | 1.28x |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 1.2K | $189.1K | $153.46 | 1.28x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 3.3K | $114.3K | $34.39 | 1.28x |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 2.2K | $110.4K | $50.28 | 1.28x |
| 87631 | Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets | 771 | $107.9K | $139.92 | 1.32x |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 1.2K | $88.0K | $73.55 | 1.37x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 1.2K | $40.5K | $34.42 | 1.30x |
| 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 | 1.2K | $29.3K | $24.52 | 1.28x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 829 | $28.5K | $34.39 | 1.28x |
| 80053 | Blood test, comprehensive group of blood chemicals | 2.3K | $24.1K | $10.35 | 1.28x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 3.1K | $23.4K | $7.61 | 1.28x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 1.3K | $21.1K | $16.46 | 1.28x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 912 | $21.0K | $22.99 | 1.28x |
| 87581 | Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique | 528 | $18.2K | $34.45 | 1.34x |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 161 | $18.1K | $112.14 | 1.28x |
| 87541 | Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique | 509 | $17.5K | $34.45 | 1.34x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 1.3K | $17.0K | $13.12 | 1.28x |
This provider submits charges 1.28 times higher than what Medicare actually pays.
A markup ratio of 1.28x means for every $100 Medicare pays, this provider initially charges $128. This is lower than the national average.
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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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