Statistical flag only — not an accusation of fraud
This provider's $74.8M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 75% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 80/100. Statistical flags are not accusations of fraud.
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $14.17 | $8.67 | 1.63x | $5.50 | $5.3M | 614.7K | 245 |
| 2015 | $14.98 | $8.71 | 1.72x | $6.27 | $5.2M | 599.9K | 243 |
| 2016 | $14.65 | $8.82 | 1.66x | $5.83 | $5.2M | 592.4K | 243 |
| 2017 | $15.34 | $9.72 | 1.58x | $5.62 | $6.0M | 614.2K | 249 |
| 2018 | $17.10 | $12.11 | 1.41x | $4.99 | $7.4M | 613.4K | 266 |
| 2019 | $19.71 | $14.52 | 1.36x | $5.19 | $6.5M | 447.2K | 255 |
| 2020 | $27.33 | $16.31 | 1.68x | $11.02 | $7.8M | 478.8K | 256 |
| 2021 | $25.17 | $18.28 | 1.38x | $6.89 | $10.7M | 587.1K | 286 |
| 2022 | $180.91 | $18.62 | 9.72x | $162.29 | $11.2M | 602.5K | 291 |
| 2023 | $199.96 | $15.16 | 13.19x | $184.80 | $9.3M | 615.4K | 283 |
| 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 | 73.2K | $5.8M | $79.82 | 1.03x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 436.6K | $3.8M | $8.64 | 3.50x |
| 86832 | Assessment of antibody to human leukocyte antigens (hla) with high definition qualitative panel for identification of antibody specificities, hla class i | 11.0K | $2.9M | $261.23 | 2.64x |
| 86833 | Assessment of antibody to human leukocyte antigens (hla) with high definition qualitative panel for identification of antibody specificities, hla class ii | 9.5K | $2.5M | $261.04 | 2.41x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 117.9K | $2.2M | $19.03 | 4.71x |
| 80053 | Blood test, comprehensive group of blood chemicals | 194.4K | $2.0M | $10.45 | 24.66x |
| 87497 | Detection test by nucleic acid for cytomegalovirus, quantification | 34.5K | $1.6M | $47.38 | 4.73x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 124.8K | $1.6M | $12.57 | 3.92x |
| 87799 | Detection test by nucleic acid for organism, quantification | 30.5K | $1.5M | $48.82 | 2.52x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 27.9K | $1.5M | $52.42 | 8.37x |
| 82306 | Vitamin d-3 level | 41.4K | $1.3M | $32.11 | 4.43x |
| 80069 | Kidney function blood test panel | 145.8K | $1.3M | $9.08 | 4.22x |
| 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 | 52.1K | $1.3M | $24.20 | 1.01x |
| 80197 | Tacrolimus level | 82.7K | $1.3M | $15.15 | 5.11x |
| 83970 | Parathormone (parathyroid hormone) level | 27.3K | $1.2M | $44.95 | 4.22x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 158.1K | $1.2M | $7.45 | 3.99x |
| 86235 | Measurement of antibody for assessment of autoimmune disorder, any method | 54.6K | $1.1M | $20.36 | 2.92x |
| 82784 | Gammaglobulin (immune system protein) measurement | 99.6K | $1.0M | $10.27 | 4.43x |
| 82565 | Blood creatinine level | 254.0K | $1.0M | $4.01 | 2.74x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 24.6K | $989.6K | $40.28 | 2.77x |
This provider submits charges 4.21 times higher than what Medicare actually pays.
A markup ratio of 4.21x means for every $100 Medicare pays, this provider initially charges $421. 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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