This provider's $34.0M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 301% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 56% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $15.55 | $8.76 | 1.78x | $6.79 | $1.4M | 164.2K | 94 |
| 2015 | $15.16 | $8.44 | 1.80x | $6.72 | $1.8M | 212.2K | 105 |
| 2016 | $17.14 | $9.52 | 1.80x | $7.62 | $2.1M | 217.7K | 114 |
| 2017 | $18.65 | $8.96 | 2.08x | $9.69 | $2.1M | 231.1K | 115 |
| 2018 | $20.29 | $8.16 | 2.49x | $12.13 | $2.7M | 332.1K | 131 |
| 2019 | $19.87 | $7.75 | 2.56x | $12.12 | $2.8M | 363.1K | 139 |
| 2020 | $25.24 | $11.57 | 2.18x | $13.67 | $4.4M | 379.1K | 138 |
| 2021 | $24.65 | $11.74 | 2.10x | $12.91 | $4.7M | 403.9K | 137 |
| 2022 | $28.61 | $14.60 | 1.96x | $14.01 | $6.2M | 422.3K | 135 |
| 2023 | $27.06 | $13.83 | 1.96x | $13.23 | $5.8M | 417.0K | 136 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 88.9K | $3.1M | $34.62 | 1.49x |
| 87150 | Identification of organisms by genetic analysis, amplified probe technique | 73.9K | $2.6M | $34.71 | 1.16x |
| 82306 | Vitamin d-3 level | 76.3K | $2.5M | $33.39 | 1.52x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 114.4K | $2.2M | $18.84 | 1.62x |
| 80053 | Blood test, comprehensive group of blood chemicals | 145.8K | $1.6M | $11.10 | 2.28x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 114.1K | $1.5M | $12.98 | 1.95x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 164.2K | $1.4M | $8.80 | 2.29x |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 127.8K | $1.3M | $10.09 | 8.90x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 62.1K | $1.1M | $17.01 | 1.49x |
| 83036 | Hemoglobin a1c level | 90.4K | $978.5K | $10.82 | 1.86x |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 917.1K | $926.4K | $1.01 | 1.49x |
| 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 | 9.8K | $819.2K | $83.74 | 1.51x |
| 87799 | Detection test by nucleic acid for organism, quantification | 18.6K | $793.5K | $42.60 | 1.42x |
| 82746 | Folic acid level, serum | 47.5K | $787.5K | $16.56 | 1.53x |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 95.2K | $610.8K | $6.42 | 3.14x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 12.9K | $520.2K | $40.18 | 1.27x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 13.5K | $464.0K | $34.42 | 1.46x |
| 84153 | Psa (prostate specific antigen) measurement, total | 21.7K | $455.7K | $20.97 | 1.45x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 46.6K | $415.7K | $8.92 | 2.32x |
| 36415 | Insertion of needle into vein for collection of blood sample | 121.2K | $376.5K | $3.11 | 4.83x |
This provider submits charges 2.08 times higher than what Medicare actually pays.
A markup ratio of 2.08x means for every $100 Medicare pays, this provider initially charges $208. 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 NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Raritan, NJ | $1.2B | ⚠️ Flagged |
| Quest Diagnostics Incorporated | Clifton, NJ | $927.2M | ⚠️ Flagged |
| Bioreference Health, Llc | Elmwood Park, NJ | $841.0M | ⚠️ Flagged |
| Accu Reference Medical Lab, Llc | Linden, NJ | $204.9M | ⚠️ Flagged |
| Aculabs Inc | East Brunswick, NJ | $91.5M | ✓ 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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