This provider's $13.6M in total Medicare payments ranks in the 93th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 11.25x is significantly above the specialty median of 3.7x.
Medicare payments to this provider grew 124% from 2015 to 2023.
68% of their billing comes from a single procedure code (G0483 โ Drug test def 22+ classes).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 89% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2015 | $108.03 | $23.51 | 4.60x | $84.52 | $857.5K | 38.5K | 21.6K |
| 2016 | $407.31 | $48.54 | 8.39x | $358.77 | $769.6K | 12.2K | 7.5K |
| 2017 | $1.3K | $86.71 | 14.84x | $1.2K | $1.1M | 8.3K | 5.2K |
| 2018 | $1.4K | $133.18 | 10.47x | $1.3K | $1.2M | 7.1K | 2.8K |
| 2019 | $1.6K | $128.18 | 12.76x | $1.5K | $1.3M | 7.4K | 3.8K |
| 2020 | $927.21 | $89.00 | 10.42x | $838.21 | $2.5M | 23.7K | 15.2K |
| 2021 | $622.07 | $90.42 | 6.88x | $531.65 | $1.9M | 15.4K | 8.3K |
| 2022 | $303.40 | $61.41 | 4.94x | $241.99 | $2.0M | 19.2K | 10.6K |
| 2023 | $327.89 | $171.83 | 1.91x | $156.06 | $1.9M | 13.1K | 7.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0483 | Drug test def 22+ classes | 34.6K | $8.4M | $241.08 | 13.08x |
| 80307 | Testing for presence of drug | 18.1K | $1.2M | $64.37 | 12.40x |
| G0482 | Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (an | 2.4K | $478.2K | $196.14 | 16.47x |
| 87633 | Detection test for multiple types of respiratory virus | 913 | $388.2K | $425.23 | 7.82x |
| G0481 | Drug test def 8-14 classes | 2.2K | $339.2K | $152.53 | 11.74x |
| U0003 | 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, making use of high throughput technologies as described by cms-2020-01-r | 2.2K | $174.3K | $80.42 | 3.18x |
| 87502 | Detection test for multiple types influenza virus | 1.8K | $171.3K | $94.98 | 4.42x |
| 87801 | Detection test for multiple organisms | 2.5K | $170.9K | $69.66 | 4.21x |
| 87798 | Detection test for organism | 3.3K | $114.7K | $35.09 | 4.29x |
| 87651 | Detection test for Strep (Streptococcus, group A) | 3.2K | $110.8K | $35.03 | 3.95x |
| 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 | 1.1K | $103.7K | $94.23 | 6.36x |
| 87641 | Detection test for staphylococcus aureus, methicillin resistant (mrsa bacteria) | 2.7K | $94.5K | $34.81 | 4.04x |
| 87640 | Detection test for staphylococcus aureus (bacteria) | 2.7K | $93.0K | $34.83 | 4.09x |
| 87634 | Detection test for respiratory syncytial virus | 1.3K | $89.0K | $69.55 | 3.18x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 823 | $79.8K | $96.93 | 3.41x |
| 82542 | Chemical analysis using chromatography technique | 3.1K | $75.4K | $24.10 | 5.54x |
| 80299 | Quantitation of therapeutic drug | 3.9K | $71.9K | $18.31 | 7.73x |
| 87500 | Detection test for vancomycin resistance strep (vre) | 2.0K | $70.3K | $34.83 | 4.04x |
| 87631 | Detection test for multiple types of respiratory virus | 471 | $67.0K | $142.19 | 3.38x |
| 87150 | Identification of organisms by genetic analysis | 1.6K | $57.2K | $34.85 | 5.37x |
This provider submits charges 11.25 times higher than what Medicare actually pays.
A markup ratio of 11.25x means for every $100 Medicare pays, this provider initially charges $1125. 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 OK for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Diagnostic Laboratory Of Oklahoma Llc | Oklahoma City, OK | $129.7M | โ ๏ธ Flagged |
| Saint Francis Outreach Services Llc | Tulsa, OK | $50.6M | โ ๏ธ Flagged |
| Dianon Systems Inc | Oklahoma City, OK | $37.7M | โ 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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