This provider's $27.7M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 442% 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 |
|---|---|---|---|---|---|---|---|
| 2017 | $344.58 | $120.71 | 2.85x | $223.87 | $2.9M | 13.6K | 12.1K |
| 2018 | $627.87 | $396.96 | 1.58x | $230.91 | $15.9M | 87.3K | 64.3K |
| 2019 | $465.28 | $352.76 | 1.32x | $112.52 | $7.7M | 43.7K | 37.2K |
| 2020 | $122.63 | $77.58 | 1.58x | $45.05 | $844.4K | 10.8K | 9.8K |
| 2021 | $71.84 | $48.36 | 1.49x | $23.48 | $101.6K | 2.2K | 1.8K |
| 2022 | $62.11 | $49.42 | 1.26x | $12.69 | $121.9K | 2.7K | 2.2K |
| 2023 | $46.98 | $42.27 | 1.11x | $4.71 | $33.2K | 810 | 705 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87507 | Detection test for digestive tract pathogen | 20.9K | $10.7M | $512.13 | 3.06x |
| 87633 | Detection test for multiple types of respiratory virus | 5.3K | $2.6M | $493.64 | 2.73x |
| 81408 | Molecular pathology procedure level 9 | 1.2K | $2.4M | $2.0K | 1.28x |
| 87500 | Detection test for Vancomycin resistance strep (VRE) | 27.1K | $1.1M | $41.02 | 2.73x |
| 87641 | Detection test for Staphylococcus aureus, methicillin resistant (MRSA bacteria) | 27.0K | $1.1M | $41.03 | 2.73x |
| 81407 | Molecular pathology procedure level 8 | 1.2K | $797.8K | $667.06 | 1.23x |
| 81321 | Gene analysis (phosphatase and tensin homolog), full sequence analysis | 1.2K | $701.5K | $588.00 | 1.28x |
| 87481 | Detection test for candida species (yeast) | 14.6K | $596.1K | $40.80 | 2.60x |
| 81162 | Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants | 299 | $594.1K | $2.0K | 1.28x |
| 87653 | Detection test for Strep (Streptococcus, group B) | 14.1K | $575.6K | $40.78 | 2.58x |
| 81317 | Gene analysis (postmeiotic segregation increased 2 [S cerevisiae]) full sequence analysis | 802 | $541.2K | $674.79 | 1.27x |
| 81292 | Gene analysis (mutL homolog 1, colon cancer, nonpolyposis type 2) full sequence analysis | 798 | $528.2K | $661.89 | 1.28x |
| 87506 | Detection test for digestive tract pathogen | 1.9K | $505.4K | $262.01 | 3.08x |
| 81298 | Gene analysis (mutS homolog 6 [E coli]) full sequence analysis | 797 | $501.3K | $629.01 | 1.28x |
| 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 | 4.2K | $375.7K | $90.24 | 1.52x |
| 81211 | Gene analysis (breast cancer 1 and 2) full sequence and common duplication or deletion variants | 156 | $366.3K | $2.3K | 1.44x |
| 81272 | Gene analysis (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog), targeted sequence | 1.0K | $338.7K | $322.92 | 1.28x |
| 81235 | Gene analysis (epidermal growth factor receptor), common variants | 1.0K | $333.4K | $318.09 | 1.28x |
| 87640 | Detection test for Staphylococcus aureus (bacteria) | 8.2K | $312.1K | $38.28 | 1.85x |
| 81405 | Molecular pathology procedure level 6 | 1.0K | $300.3K | $295.32 | 1.28x |
This provider submits charges 2.34 times higher than what Medicare actually pays.
A markup ratio of 2.34x means for every $100 Medicare pays, this provider initially charges $234. 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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