This provider's $42.9M in total Medicare payments ranks in the 98th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 525% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 69% in 2019
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 | $638.46 | $70.08 | 9.11x | $568.38 | $879.5K | 12.5K | 8 |
| 2015 | $717.10 | $72.61 | 9.88x | $644.49 | $878.7K | 12.1K | 9 |
| 2016 | $804.14 | $86.54 | 9.29x | $717.60 | $1.2M | 13.9K | 14 |
| 2017 | $840.49 | $87.06 | 9.65x | $753.43 | $1.9M | 22.0K | 23 |
| 2018 | $758.61 | $89.53 | 8.47x | $669.08 | $3.1M | 34.5K | 32 |
| 2019 | $299.36 | $71.66 | 4.18x | $227.70 | $5.2M | 72.9K | 47 |
| 2020 | $75.33 | $52.38 | 1.44x | $22.95 | $8.5M | 162.5K | 56 |
| 2021 | $71.26 | $49.59 | 1.44x | $21.67 | $8.6M | 172.5K | 50 |
| 2022 | $66.50 | $48.55 | 1.37x | $17.95 | $7.2M | 147.8K | 53 |
| 2023 | $59.46 | $42.62 | 1.40x | $16.84 | $5.5M | 129.0K | 74 |
| 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 | 95.2K | $8.0M | $84.39 | 1.49x |
| 87507 | Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets | 16.4K | $7.4M | $449.64 | 3.01x |
| 87150 | Identification of organisms by genetic analysis, amplified probe technique | 122.1K | $4.2M | $34.69 | 1.35x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 81.5K | $3.0M | $36.83 | 9.75x |
| 88120 | Cell examination of urine, manual | 4.7K | $2.4M | $516.70 | 5.62x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 39.1K | $2.3M | $58.18 | 5.08x |
| 87506 | Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 6-11 targets | 6.5K | $1.7M | $257.71 | 1.08x |
| 88364 | Genetic sequencing localization, each additional procedure | 17.1K | $1.6M | $95.31 | 1.77x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 20.5K | $1.4M | $68.49 | 6.78x |
| 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 | 53.7K | $1.3M | $24.88 | 1.02x |
| 83520 | Measurement of substance using immunoassay technique | 63.3K | $1.1M | $17.03 | 1.82x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 11.2K | $885.2K | $79.00 | 3.14x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 20.9K | $757.8K | $36.34 | 2.08x |
| 88365 | Genetic sequencing localization, initial procedure | 5.8K | $726.4K | $125.72 | 1.79x |
| 87633 | Detection test for multiple types of respiratory virus | 1.3K | $593.9K | $454.04 | 3.25x |
| 83993 | Stool calprotectin (protein) level | 23.8K | $477.6K | $20.06 | 2.54x |
| 0097U | Test for detection of gastrointestinal disease-causing organism using amplified probe | 1.1K | $410.0K | $361.87 | 1.16x |
| 83631 | Stool lactoferrin (immune system protein) level | 18.1K | $361.8K | $19.94 | 2.35x |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 2.2K | $310.9K | $140.28 | 1.18x |
| 87209 | Special stain for parasites | 15.7K | $287.5K | $18.32 | 2.35x |
This provider submits charges 3.18 times higher than what Medicare actually pays.
A markup ratio of 3.18x means for every $100 Medicare pays, this provider initially charges $318. 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 NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Raritan, NJ | $1.2B | ⚠️ Flagged |
| Quest Diagnostics Incorporated | Clifton, NJ | $927.2M | ⚠️ Flagged |
| Bioreference Health, Llc | Elmwood Park, NJ | $841.0M | ⚠️ Flagged |
| Accu Reference Medical Lab, Llc | Linden, NJ | $204.9M | ⚠️ Flagged |
| Aculabs Inc | East Brunswick, NJ | $91.5M | ✓ 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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