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

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Certigen Laboratory, Llc
๐Ÿ”ฌ
Organization

Certigen Laboratory, Llc

NPI: 1336556745
Tulsa, OK
9 years of data
Clinical Laboratory
$13.6M
Total Payments
82.2K
Beneficiaries
144.9K
Services
11.25x
Markup Ratio

Peer Comparison

93th
percentile in specialty
This provider$13.6M
Specialty median$1.9M

๐Ÿ“‹ Key Findings

1Billed $13.6M over 9 years
211.25x markup ratio (above median)
393th percentile in Clinical Laboratory by payments
4Payments surged 89% in 2020
520 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 89% 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
2015$108.03$23.514.60x$84.52$857.5K38.5K21.6K
2016$407.31$48.548.39x$358.77$769.6K12.2K7.5K
2017$1.3K$86.7114.84x$1.2K$1.1M8.3K5.2K
2018$1.4K$133.1810.47x$1.3K$1.2M7.1K2.8K
2019$1.6K$128.1812.76x$1.5K$1.3M7.4K3.8K
2020$927.21$89.0010.42x$838.21$2.5M23.7K15.2K
2021$622.07$90.426.88x$531.65$1.9M15.4K8.3K
2022$303.40$61.414.94x$241.99$2.0M19.2K10.6K
2023$327.89$171.831.91x$156.06$1.9M13.1K7.3K

Top Procedures (20)

G0483Drug test def 22+ classesโš  13.1x markup
$8.4M
34.6K services$241.08/svc13.08x markup
80307Testing for presence of drugโš  12.4x markup
$1.2M
18.1K services$64.37/svc12.40x markup
G0482Drug 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 (anโš  16.5x markup
$478.2K
2.4K services$196.14/svc16.47x markup
87633Detection test for multiple types of respiratory virusโš  7.8x markup
$388.2K
913 services$425.23/svc7.82x markup
G0481Drug test def 8-14 classesโš  11.7x markup
$339.2K
2.2K services$152.53/svc11.74x 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  3.2x markup
$174.3K
2.2K services$80.42/svc3.18x markup
87502Detection test for multiple types influenza virusโš  4.4x markup
$171.3K
1.8K services$94.98/svc4.42x markup
87801Detection test for multiple organismsโš  4.2x markup
$170.9K
2.5K services$69.66/svc4.21x markup
87798Detection test for organismโš  4.3x markup
$114.7K
3.3K services$35.09/svc4.29x markup
87651Detection test for Strep (Streptococcus, group A)โš  4.0x markup
$110.8K
3.2K services$35.03/svc3.95x markup
U00042019-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-rโš  6.4x markup
$103.7K
1.1K services$94.23/svc6.36x markup
87641Detection test for staphylococcus aureus, methicillin resistant (mrsa bacteria)โš  4.0x markup
$94.5K
2.7K services$34.81/svc4.04x markup
87640Detection test for staphylococcus aureus (bacteria)โš  4.1x markup
$93.0K
2.7K services$34.83/svc4.09x markup
87634Detection test for respiratory syncytial virusโš  3.2x markup
$89.0K
1.3K services$69.55/svc3.18x markup
G0431Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounterโš  3.4x markup
$79.8K
823 services$96.93/svc3.41x markup
82542Chemical analysis using chromatography techniqueโš  5.5x markup
$75.4K
3.1K services$24.10/svc5.54x markup
80299Quantitation of therapeutic drugโš  7.7x markup
$71.9K
3.9K services$18.31/svc7.73x markup
87500Detection test for vancomycin resistance strep (vre)โš  4.0x markup
$70.3K
2.0K services$34.83/svc4.04x markup
87631Detection test for multiple types of respiratory virusโš  3.4x markup
$67.0K
471 services$142.19/svc3.38x markup
87150Identification of organisms by genetic analysisโš  5.4x markup
$57.2K
1.6K services$34.85/svc5.37x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G0483Drug test def 22+ classes34.6K$8.4M$241.0813.08x
80307Testing for presence of drug18.1K$1.2M$64.3712.40x
G0482Drug 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 (an2.4K$478.2K$196.1416.47x
87633Detection test for multiple types of respiratory virus913$388.2K$425.237.82x
G0481Drug test def 8-14 classes2.2K$339.2K$152.5311.74x
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-r2.2K$174.3K$80.423.18x
87502Detection test for multiple types influenza virus1.8K$171.3K$94.984.42x
87801Detection test for multiple organisms2.5K$170.9K$69.664.21x
87798Detection test for organism3.3K$114.7K$35.094.29x
87651Detection test for Strep (Streptococcus, group A)3.2K$110.8K$35.033.95x
U00042019-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-r1.1K$103.7K$94.236.36x
87641Detection test for staphylococcus aureus, methicillin resistant (mrsa bacteria)2.7K$94.5K$34.814.04x
87640Detection test for staphylococcus aureus (bacteria)2.7K$93.0K$34.834.09x
87634Detection test for respiratory syncytial virus1.3K$89.0K$69.553.18x
G0431Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter823$79.8K$96.933.41x
82542Chemical analysis using chromatography technique3.1K$75.4K$24.105.54x
80299Quantitation of therapeutic drug3.9K$71.9K$18.317.73x
87500Detection test for vancomycin resistance strep (vre)2.0K$70.3K$34.834.04x
87631Detection test for multiple types of respiratory virus471$67.0K$142.193.38x
87150Identification of organisms by genetic analysis1.6K$57.2K$34.855.37x

Markup Analysis

Charge-to-Payment Ratio

11.25x

This provider submits charges 11.25 times higher than what Medicare actually pays.

What This Means

A markup ratio of 11.25x means for every $100 Medicare pays, this provider initially charges $1125. This is higher than the national average.

Location

Tulsa, OK

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 OK for peer comparison.

Certigen Laboratory, Llc (you)
$13.6M
Diagnostic Laboratory Of Oklahoma Llcโš ๏ธ
$129.7M
Saint Francis Outreach Services Llcโš ๏ธ
$50.6M
Dianon Systems Inc
$37.7M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Diagnostic Laboratory Of Oklahoma LlcOklahoma City, OK$129.7Mโš ๏ธ Flagged
Saint Francis Outreach Services LlcTulsa, OK$50.6Mโš ๏ธ Flagged
Dianon Systems IncOklahoma City, OK$37.7Mโœ“ Clear

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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.

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