This provider's $6.8M in total Medicare payments ranks in the 86th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 184% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1522% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $116.62 | $41.82 | 2.79x | $74.80 | $340.2K | 8.1K | 1.2K |
| 2022 | $62.88 | $23.05 | 2.73x | $39.83 | $5.5M | 133.9K | 7.9K |
| 2023 | $35.43 | $18.69 | 1.90x | $16.74 | $966.5K | 29.1K | 8.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 54.1K | $4.0M | $73.96 | 1.93x |
| U0005 | Infectious 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 | 54.0K | $1.3M | $24.65 | 3.78x |
| G2024 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source | 52.8K | $1.3M | $25.11 | 3.42x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 2.3K | $53.8K | $23.04 | 3.89x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 1.4K | $10.6K | $7.61 | 1.70x |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 204 | $10.3K | $50.28 | 1.20x |
| 80053 | Blood test, comprehensive group of blood chemicals | 737 | $7.6K | $10.35 | 3.80x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 208 | $7.2K | $34.39 | 1.54x |
| 87641 | Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique | 197 | $6.8K | $34.39 | 1.53x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 394 | $6.5K | $16.44 | 1.53x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 738 | $6.1K | $8.29 | 1.38x |
| 87636 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b | 40 | $5.6K | $139.78 | 1.33x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 387 | $5.1K | $13.12 | 1.35x |
| 87109 | Mycoplasma culture | 273 | $4.1K | $15.08 | 1.55x |
| 80299 | Quantitation of therapeutic drug | 211 | $3.8K | $18.21 | 1.27x |
| 82306 | Vitamin d-3 level | 98 | $2.8K | $28.21 | 1.59x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 76 | $2.6K | $34.39 | 1.56x |
| 83037 | Hemoglobin a1c level, by device for home use | 221 | $2.1K | $9.48 | 1.93x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 135 | $2.0K | $14.72 | 1.62x |
| 84403 | Testosterone (hormone) level, total | 65 | $1.6K | $25.15 | 2.40x |
This provider submits charges 2.6 times higher than what Medicare actually pays.
A markup ratio of 2.6x means for every $100 Medicare pays, this provider initially charges $260. 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 AL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Birmingham, AL | $692.7M | ⚠️ Flagged |
| Eurofins Diatherix Laboratories Llc | Huntsville, AL | $37.8M | ✓ 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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