This provider's $5.0M in total Medicare payments ranks in the 81th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 163% from 2022 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 163% 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 |
|---|---|---|---|---|---|---|---|
| 2022 | $21.69 | $16.89 | 1.28x | $4.80 | $1.4M | 82.0K | 46 |
| 2023 | $21.48 | $17.62 | 1.22x | $3.86 | $3.6M | 206.5K | 49 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 40.1K | $1.4M | $34.39 | 1.13x |
| 87631 | Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets | 3.3K | $463.1K | $139.78 | 1.26x |
| 86769 | Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody | 5.6K | $231.6K | $41.31 | 1.18x |
| 82306 | Vitamin d-3 level | 6.4K | $186.0K | $29.02 | 1.18x |
| 83970 | Parathormone (parathyroid hormone) level | 3.5K | $141.8K | $40.47 | 1.16x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 8.6K | $141.0K | $16.46 | 1.28x |
| 84481 | Thyroid hormone, t3 measurement, free | 7.9K | $131.1K | $16.60 | 1.27x |
| 86677 | Analysis for antibody to helicobacter pylori (gastrointestinal bacteria) | 7.5K | $123.5K | $16.51 | 1.19x |
| 82746 | Folic acid level, serum | 8.3K | $120.1K | $14.41 | 1.25x |
| 86160 | Measurement of complement (immune system proteins), antigen, | 10.0K | $117.3K | $11.77 | 1.34x |
| 87486 | Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique | 3.2K | $110.5K | $34.39 | 1.19x |
| 87541 | Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique | 3.2K | $110.5K | $34.39 | 1.19x |
| 87581 | Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique | 3.2K | $110.5K | $34.39 | 1.19x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 7.3K | $108.3K | $14.78 | 1.22x |
| 82728 | Ferritin (blood protein) level | 8.0K | $107.4K | $13.36 | 1.29x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 7.9K | $103.7K | $13.12 | 1.25x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 2.7K | $94.4K | $34.39 | 1.19x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 2.7K | $93.4K | $34.39 | 1.19x |
| 86038 | Screening test for autoimmune disorder | 7.7K | $91.7K | $11.85 | 1.30x |
| 80053 | Blood test, comprehensive group of blood chemicals | 8.7K | $90.0K | $10.35 | 1.37x |
This provider submits charges 1.24 times higher than what Medicare actually pays.
A markup ratio of 1.24x means for every $100 Medicare pays, this provider initially charges $124. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Genomic Health, Inc. | Redwood City, CA | $887.6M | ✓ Clear |
| Unilab Corporation | West Hills, CA | $868.8M | ⚠️ Flagged |
| Caredx Inc. | Brisbane, CA | $751.0M | ✓ Clear |
| Laboratory Corporation Of America | San Diego, CA | $592.4M | ⚠️ Flagged |
| Millennium Health, Llc | San Diego, CA | $587.9M | ✓ 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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