This provider's $7.7M in total Medicare payments ranks in the 87th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 586981% from 2020 to 2023.
100% of their billing comes from a single procedure code (K1034 — Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 377797% 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2020 | $41.08 | $35.27 | 1.16x | $5.81 | $1.3K | 37 | 2 |
| 2021 | $45.09 | $37.83 | 1.19x | $7.26 | $8.9K | 236 | 7 |
| 2022 | $88.91 | $48.27 | 1.84x | $40.64 | $2.0K | 42 | 1 |
| 2023 | $12.00 | $11.76 | 1.02x | $0.24 | $7.7M | 651.6K | 1 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 651.6K | $7.7M | $11.76 | 1.02x |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 62 | $4.1K | $66.09 | 1.53x |
| 0004A | Fee covid-19 vac 1 res | 39 | $1.5K | $37.21 | 1.21x |
| 0031A | Adm sarscov2 vac ad26 .5ml | 38 | $1.4K | $37.21 | 1.21x |
| G0008 | Administration of influenza virus vaccine | 67 | $1.2K | $18.52 | 1.01x |
| 0001A | Adm sarscov2 30mcg/0.3ml 1st | 27 | $1.0K | $37.21 | 1.21x |
| 0064A | Fee covid-19 vac 7 res | 24 | $893.04 | $37.21 | 1.21x |
| 0013A | Fee covid-19 vac 2 booster | 23 | $855.83 | $37.21 | 1.19x |
| 0003A | Fee covid-19 vac 1 booster | 22 | $818.62 | $37.21 | 1.21x |
| 0011A | Adm sarscov2 100mcg/0.5ml1st | 13 | $483.73 | $37.21 | 1.21x |
This provider submits charges 1.02 times higher than what Medicare actually pays.
A markup ratio of 1.02x means for every $100 Medicare pays, this provider initially charges $102. This is lower 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 IN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Patients Choice Laboratories Of Indiana, Llc | Indianapolis, IN | $70.5M | ✓ Clear |
| Professional Clinical Laboratories, Llc | Hammond, IN | $70.1M | ⚠️ Flagged |
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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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