OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Florida Clinical Practice Association Inc
๐Ÿ”ฌ
Organization

Florida Clinical Practice Association Inc

NPI: 1326108903
Gainesville, FL
10 years of data
Clinical Laboratory
$12.4M
Total Payments
385.5K
Beneficiaries
479.6K
Services
2.97x
Markup Ratio

Peer Comparison

92th
percentile in specialty
This provider$12.4M
Specialty median$1.9M

๐Ÿ“‹ Key Findings

1Billed $12.4M over 10 years
22.97x markup ratio (above median)
392th percentile in Clinical Laboratory by payments
4Payments surged 100% in 2020
55 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $12.4M in total Medicare payments ranks in the 92th percentile of Clinical Laboratory providers nationally.

Medicare payments to this provider grew 261% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 100% in 2020

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$218.99$64.423.40x$154.57$635.8K11.8K10.2K
2015$183.17$54.803.34x$128.37$674.7K13.0K11.3K
2016$206.57$71.372.89x$135.20$758.9K15.2K12.7K
2017$117.75$44.572.64x$73.18$558.8K12.4K11.0K
2018$97.63$35.022.79x$62.61$593.0K16.9K14.8K
2019$89.94$32.742.75x$57.20$773.7K32.5K28.3K
2020$84.26$28.692.94x$55.57$1.5M54.1K46.1K
2021$118.80$46.142.57x$72.66$2.2M76.0K61.0K
2022$120.15$43.902.74x$76.25$2.4M112.6K91.7K
2023$117.89$41.062.87x$76.83$2.3M135.3K98.4K

Top Procedures (20)

88305Pathology examination of tissue using a microscope, intermediate complexityโš  3.1x markup
$3.0M
72.1K services$41.02/svc3.15x markup
U0003Infectious 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-rโš  3.0x markup
$1.5M
18.5K services$82.58/svc3.02x markup
81455Test for detecting genes associated with cancer
$622.8K
216 services$2.9K/svc1.56x markup
88342Tissue or cell analysis by immunologic technique
$442.6K
8.2K services$54.12/svc2.40x markup
80061Blood test, lipids (cholesterol and triglycerides)
$409.0K
30.7K services$13.31/svc2.76x markup
80053Blood test, comprehensive group of blood chemicals
$405.7K
38.5K services$10.53/svc2.75x markup
84443Blood test, thyroid stimulating hormone (TSH)
$386.7K
23.0K services$16.83/svc2.74x markup
U0005Infectious 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
$319.1K
12.8K services$24.95/svc1.00x markup
88321Surgical pathology consultation and report
$287.5K
3.8K services$76.42/svc2.13x markup
82306Vitamin D-3 levelโš  7.3x markup
$271.6K
9.2K services$29.51/svc7.25x markup
85025Complete blood cell count (red cells, white blood cell, platelets), automated test
$231.3K
29.8K services$7.76/svc2.75x markup
88312Special stained specimen slides to identify organisms including interpretation and report
$210.8K
3.3K services$64.07/svc2.01x markup
88341Special stained specimen slides to examine tissue
$175.4K
4.2K services$41.54/svc2.85x markup
82607Cyanocobalamin (vitamin B-12) level
$169.2K
11.3K services$14.99/svc2.76x markup
83036Hemoglobin A1C level
$159.3K
16.4K services$9.68/svc2.75x markup
88323Surgical pathology consultation and report
$154.6K
1.9K services$80.61/svc1.93x markup
88173Evaluation of fine needle aspirate with interpretation and reportโš  3.4x markup
$122.8K
1.1K services$109.17/svc3.41x markup
80048Blood test, basic group of blood chemicals
$98.4K
11.4K services$8.60/svc2.70x markup
83970Parathormone (parathyroid hormone) level
$93.9K
2.3K services$40.87/svc2.28x markup
88189Flow cytometry technique for DNA or cell analysisโš  5.4x markup
$85.3K
1.1K services$77.66/svc5.37x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
88305Pathology examination of tissue using a microscope, intermediate complexity72.1K$3.0M$41.023.15x
U0003Infectious 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-r18.5K$1.5M$82.583.02x
81455Test for detecting genes associated with cancer216$622.8K$2.9K1.56x
88342Tissue or cell analysis by immunologic technique8.2K$442.6K$54.122.40x
80061Blood test, lipids (cholesterol and triglycerides)30.7K$409.0K$13.312.76x
80053Blood test, comprehensive group of blood chemicals38.5K$405.7K$10.532.75x
84443Blood test, thyroid stimulating hormone (TSH)23.0K$386.7K$16.832.74x
U0005Infectious 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 within12.8K$319.1K$24.951.00x
88321Surgical pathology consultation and report3.8K$287.5K$76.422.13x
82306Vitamin D-3 level9.2K$271.6K$29.517.25x
85025Complete blood cell count (red cells, white blood cell, platelets), automated test29.8K$231.3K$7.762.75x
88312Special stained specimen slides to identify organisms including interpretation and report3.3K$210.8K$64.072.01x
88341Special stained specimen slides to examine tissue4.2K$175.4K$41.542.85x
82607Cyanocobalamin (vitamin B-12) level11.3K$169.2K$14.992.76x
83036Hemoglobin A1C level16.4K$159.3K$9.682.75x
88323Surgical pathology consultation and report1.9K$154.6K$80.611.93x
88173Evaluation of fine needle aspirate with interpretation and report1.1K$122.8K$109.173.41x
80048Blood test, basic group of blood chemicals11.4K$98.4K$8.602.70x
83970Parathormone (parathyroid hormone) level2.3K$93.9K$40.872.28x
88189Flow cytometry technique for DNA or cell analysis1.1K$85.3K$77.665.37x

Markup Analysis

Charge-to-Payment Ratio

2.97x

This provider submits charges 2.97 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.97x means for every $100 Medicare pays, this provider initially charges $297. This is higher than the national average.

Location

Gainesville, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Clinical Laboratory providers in FL for peer comparison.

Florida Clinical Practice Association Inc (you)
$12.4M
Quest Diagnostics Clinical Laboratories Incโš ๏ธ
$1.0B
Laboratory Corporation Of Americaโš ๏ธ
$463.1M
Quest Diagnostics Clinical Laboratories Incโš ๏ธ
$417.1M
American Health S, Llc
$175.7M
Ameripath Florida Llc
$80.1M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Quest Diagnostics Clinical Laboratories IncTampa, FL$1.0Bโš ๏ธ Flagged
Laboratory Corporation Of AmericaTampa, FL$463.1Mโš ๏ธ Flagged
Quest Diagnostics Clinical Laboratories IncMiramar, FL$417.1Mโš ๏ธ Flagged
American Health S, LlcDavie, FL$175.7Mโœ“ Clear
Ameripath Florida LlcPompano Beach, FL$80.1Mโœ“ Clear

Related

Browse
โ† Back to Provider Directory
State
All providers in FL โ†’
Specialty
All Clinical Laboratory providers โ†’
Tool
Compare this provider โ†’
Analysis
Fraud Watchlist โ†’
Search
Search all providers โ†’

Share This Provider

Share this provider's Medicare payment information

Share:

Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data