This provider's $24.3M in total Medicare payments ranks in the 96th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 89% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $41.77 | $9.51 | 4.39x | $32.26 | $1.7M | 183.6K | 152 |
| 2015 | $40.69 | $11.88 | 3.43x | $28.81 | $2.0M | 170.9K | 155 |
| 2016 | $23.17 | $12.35 | 1.88x | $10.82 | $2.2M | 178.4K | 147 |
| 2017 | $23.54 | $12.13 | 1.94x | $11.41 | $2.3M | 189.2K | 144 |
| 2018 | $25.97 | $12.20 | 2.13x | $13.77 | $2.4M | 197.7K | 155 |
| 2019 | $30.13 | $11.90 | 2.53x | $18.23 | $2.6M | 215.5K | 170 |
| 2020 | $18.38 | $7.01 | 2.62x | $11.37 | $2.6M | 369.4K | 164 |
| 2021 | $17.16 | $6.58 | 2.61x | $10.58 | $2.7M | 404.8K | 161 |
| 2022 | $16.89 | $6.46 | 2.61x | $10.43 | $2.5M | 390.5K | 149 |
| 2023 | $14.60 | $5.64 | 2.59x | $8.96 | $3.3M | 584.0K | 149 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 82306 | Vitamin d-3 level | 50.8K | $1.7M | $33.96 | 1.53x |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 1.3M | $1.4M | $1.09 | 2.24x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 70.3K | $1.3M | $19.15 | 1.49x |
| 83021 | Hemoglobin analysis and measurement, chromatography | 58.3K | $1.2M | $20.34 | 1.50x |
| 80053 | Blood test, comprehensive group of blood chemicals | 101.2K | $1.1M | $10.93 | 3.45x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 72.7K | $942.6K | $12.97 | 2.78x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 104.4K | $921.6K | $8.83 | 1.83x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 11.6K | $732.2K | $63.30 | 2.12x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 37.5K | $629.7K | $16.78 | 1.53x |
| 84481 | Thyroid hormone, t3 measurement, free | 31.9K | $608.7K | $19.10 | 1.57x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 5.7K | $558.1K | $97.81 | 1.53x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 12.8K | $518.4K | $40.51 | 4.98x |
| 84439 | Thyroxine (thyroid chemical), free | 45.8K | $465.5K | $10.17 | 1.87x |
| 82746 | Folic acid level, serum | 28.1K | $461.8K | $16.46 | 1.49x |
| 84153 | Psa (prostate specific antigen) measurement, total | 20.1K | $418.8K | $20.84 | 1.86x |
| 86376 | Microsomal antibodies (autoantibody) measurement | 20.8K | $339.4K | $16.31 | 2.41x |
| 84432 | Thyroglobulin (thyroid related hormone) level | 18.1K | $322.1K | $17.76 | 3.50x |
| 84403 | Testosterone (hormone) level, total | 10.8K | $318.1K | $29.52 | 1.94x |
| 82728 | Ferritin (blood protein) level | 20.0K | $305.4K | $15.23 | 1.64x |
| 36415 | Insertion of needle into vein for collection of blood sample | 72.8K | $266.1K | $3.65 | 6.88x |
This provider submits charges 2.62 times higher than what Medicare actually pays.
A markup ratio of 2.62x means for every $100 Medicare pays, this provider initially charges $262. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Genomic Health, Inc. | Redwood City, CA | $887.6M | ✓ Clear |
| Unilab Corporation | West Hills, CA | $868.8M | ⚠️ Flagged |
| Caredx Inc. | Brisbane, CA | $751.0M | ✓ Clear |
| Laboratory Corporation Of America | San Diego, CA | $592.4M | ⚠️ Flagged |
| Millennium Health, Llc | San Diego, CA | $587.9M | ✓ 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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