This provider's $28.5M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 5.39x is significantly above the specialty median of 3.7x.
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 | $118.99 | $22.31 | 5.33x | $96.68 | $12.7M | 1.1M | 730.9K |
| 2015 | $119.36 | $22.60 | 5.28x | $96.76 | $9.5M | 802.7K | 575.3K |
| 2016 | $128.27 | $24.57 | 5.22x | $103.70 | $3.6M | 282.6K | 214.9K |
| 2017 | $141.18 | $26.54 | 5.32x | $114.64 | $2.2M | 154.2K | 122.7K |
| 2018 | $129.23 | $23.70 | 5.45x | $105.53 | $489.9K | 36.9K | 33.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 129.2K | $2.9M | $22.43 | 3.82x |
| 80053 | Blood test, comprehensive group of blood chemicals | 226.6K | $2.8M | $12.28 | 5.41x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 138.4K | $1.9M | $13.42 | 6.01x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 188.1K | $1.8M | $9.44 | 4.30x |
| 83036 | Hemoglobin A1C level | 85.5K | $1.1M | $12.93 | 5.43x |
| 82306 | Vitamin D-3 level | 25.8K | $1.0M | $39.53 | 6.74x |
| 87086 | Bacterial colony count, urine | 94.6K | $1.0M | $10.74 | 5.92x |
| 83970 | Parathormone (parathyroid hormone) level | 16.7K | $922.4K | $55.12 | 3.90x |
| 87088 | Bacterial urine culture | 76.9K | $829.3K | $10.78 | 3.78x |
| 36415 | Insertion of needle into vein for collection of blood sample | 262.4K | $771.6K | $2.94 | 6.44x |
| 80048 | Blood test, basic group of blood chemicals | 50.3K | $532.8K | $10.59 | 4.78x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) | 46.0K | $529.0K | $11.51 | 5.73x |
| 84153 | PSA (prostate specific antigen) measurement | 20.7K | $507.4K | $24.55 | 5.69x |
| 84403 | Testosterone (hormone) level | 14.0K | $480.1K | $34.37 | 4.89x |
| 87077 | Bacterial culture for aerobic isolates | 45.4K | $430.6K | $9.49 | 2.81x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 44.7K | $308.9K | $6.91 | 7.73x |
| 84439 | Thyroxine (thyroid chemical) measurement | 28.2K | $307.5K | $10.90 | 9.03x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 11.3K | $276.9K | $24.55 | 5.76x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 6.2K | $270.8K | $43.66 | 5.70x |
| 82728 | Ferritin (blood protein) level | 14.3K | $260.4K | $18.19 | 4.13x |
This provider submits charges 5.39 times higher than what Medicare actually pays.
A markup ratio of 5.39x means for every $100 Medicare pays, this provider initially charges $539. 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 CO for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America | Englewood, CO | $139.3M | ⚠️ Flagged |
| Biodesix, Inc. | Boulder, CO | $52.6M | ✓ 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