This provider's $4.1M in total Medicare payments ranks in the 77th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 89% from 2020 to 2023.
63% of their billing comes from a single procedure code (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).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 226% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $27.55 | $18.76 | 1.47x | $8.79 | $450.2K | 6.5K | 1.8K |
| 2021 | $30.94 | $20.43 | 1.51x | $10.51 | $1.5M | 39.8K | 12.2K |
| 2022 | $36.54 | $18.85 | 1.94x | $17.69 | $1.3M | 38.4K | 9.6K |
| 2023 | $45.66 | $18.08 | 2.53x | $27.58 | $851.9K | 24.3K | 6.4K |
| 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 | 32.3K | $2.5M | $77.51 | 1.93x |
| 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 | 28.0K | $694.2K | $24.79 | 1.84x |
| G2024 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source | 10.9K | $272.6K | $25.09 | 2.54x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 10.1K | $236.3K | $23.31 | 1.92x |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 1.5K | $76.3K | $50.24 | 2.55x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 2.0K | $33.6K | $16.65 | 1.88x |
| 80053 | Blood test, comprehensive group of blood chemicals | 2.7K | $28.1K | $10.47 | 1.89x |
| 82306 | Vitamin d-3 level | 806 | $23.7K | $29.40 | 1.81x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 3.0K | $23.3K | $7.69 | 1.90x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 1.6K | $21.1K | $13.28 | 1.86x |
| 84481 | Thyroid hormone, t3 measurement | 746 | $12.5K | $16.82 | 1.77x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 636 | $9.5K | $14.92 | 1.98x |
| 82670 | Estradiol (hormone) level | 295 | $8.2K | $27.94 | 1.50x |
| 87086 | Bacterial colony count, urine | 957 | $7.6K | $7.99 | 1.90x |
| 83036 | Hemoglobin a1c level | 668 | $6.4K | $9.58 | 2.07x |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 68 | $6.4K | $93.88 | 2.55x |
| 83002 | Gonadotropin, luteinizing (reproductive hormone) level | 342 | $6.3K | $18.52 | 1.50x |
| 84439 | Thyroxine (thyroid chemical) measurement | 700 | $6.3K | $8.96 | 1.69x |
| 83001 | Gonadotropin, follicle stimulating (reproductive hormone) level | 294 | $5.5K | $18.58 | 1.50x |
| 80048 | Blood test, basic group of blood chemicals | 653 | $5.5K | $8.35 | 2.07x |
This provider submits charges 1.95 times higher than what Medicare actually pays.
A markup ratio of 1.95x means for every $100 Medicare pays, this provider initially charges $195. This is lower 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 SC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Vikor Scientific, Llc | Charleston, SC | $141.0M | ✓ Clear |
| Premier Medical, Inc. | Greenville, SC | $33.7M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data