This provider's $47.1M in total Medicare payments ranks in the 98th percentile of Clinical Laboratory providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 197% 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 | $119.31 | $29.54 | 4.04x | $89.77 | $3.2M | 108.6K | 129 |
| 2015 | $162.71 | $46.77 | 3.48x | $115.94 | $3.9M | 82.7K | 36 |
| 2016 | $165.60 | $47.93 | 3.46x | $117.67 | $3.6M | 75.1K | 34 |
| 2017 | $174.89 | $47.60 | 3.67x | $127.29 | $3.2M | 67.3K | 36 |
| 2018 | $177.58 | $45.49 | 3.90x | $132.09 | $2.7M | 60.3K | 37 |
| 2019 | $173.03 | $42.57 | 4.06x | $130.46 | $2.5M | 58.1K | 38 |
| 2020 | $132.70 | $73.76 | 1.80x | $58.94 | $7.3M | 99.4K | 38 |
| 2021 | $98.19 | $49.55 | 1.98x | $48.64 | $9.4M | 190.7K | 39 |
| 2022 | $112.34 | $47.62 | 2.36x | $64.72 | $7.7M | 162.8K | 40 |
| 2023 | $143.51 | $40.80 | 3.52x | $102.71 | $3.5M | 84.7K | 42 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 175.4K | $14.5M | $82.53 | 1.21x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 183.3K | $7.7M | $42.19 | 3.36x |
| 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 | 113.3K | $2.8M | $24.89 | 1.00x |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | 79.7K | $2.5M | $31.51 | 3.45x |
| 87624 | Detection test by nucleic acid for human papillomavirus (hpv), high-risk types | 56.2K | $2.3M | $41.23 | 3.14x |
| 87536 | Detection test by nucleic acid for hiv-1 virus, quantification | 20.1K | $2.0M | $99.97 | 4.04x |
| 87491 | Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique | 44.6K | $1.8M | $40.96 | 2.50x |
| 87591 | Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique | 44.3K | $1.8M | $40.96 | 2.51x |
| 87522 | Detection test by nucleic acid for hepatitis c virus, quantification | 26.7K | $1.4M | $51.87 | 10.87x |
| 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 | 8.1K | $1.1M | $141.66 | 3.62x |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 16.1K | $810.4K | $50.24 | 4.01x |
| 81513 | Measurement of rna of bacteria in vaginal fluid specimen | 5.5K | $776.0K | $140.19 | 2.36x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 10.3K | $714.0K | $69.52 | 2.66x |
| 88175 | Pap test, automated thin layer preparation; automated system and manual rescreening | 20.3K | $650.4K | $31.98 | 3.43x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 1.6K | $533.3K | $340.31 | 5.02x |
| 87661 | Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique | 13.5K | $499.0K | $37.09 | 4.64x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 6.0K | $412.5K | $69.09 | 4.03x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 6.0K | $369.2K | $62.01 | 2.09x |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | 14.8K | $361.4K | $24.49 | 3.51x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 11.7K | $327.9K | $27.97 | 5.23x |
This provider submits charges 2.84 times higher than what Medicare actually pays.
A markup ratio of 2.84x means for every $100 Medicare pays, this provider initially charges $284. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Llc Il | Wood Dale, IL | $446.2M | ⚠️ Flagged |
| Tempus Ai, Inc. | Chicago, IL | $213.4M | ⚠️ Flagged |
| Chicago Clinical Laboratories, Ltd | Northbrook, IL | $66.5M | ⚠️ Flagged |
| Lifescan Labs Of Illinois, Llc | Skokie, IL | $61.6M | ✓ Clear |
| Chicago Care Lab Services Llc | Chicago, IL | $56.7M | ⚠️ Flagged |
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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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