Statistical flag only — not an accusation of fraud
This provider's $34.2M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 5.29x is significantly above the specialty median of 3.7x.
This provider has been statistically flagged with a risk score of 73/100. Statistical flags are not accusations of fraud.
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 | $14.10 | $11.62 | 1.21x | $2.48 | $2.5M | 217.2K | 105 |
| 2015 | $16.00 | $12.70 | 1.26x | $3.30 | $2.8M | 220.8K | 112 |
| 2016 | $17.05 | $13.26 | 1.29x | $3.79 | $3.4M | 255.9K | 108 |
| 2017 | $17.53 | $13.55 | 1.29x | $3.98 | $3.5M | 256.6K | 110 |
| 2018 | $16.75 | $13.25 | 1.26x | $3.50 | $3.5M | 266.5K | 107 |
| 2019 | $33.46 | $12.28 | 2.72x | $21.18 | $3.5M | 282.3K | 115 |
| 2020 | $109.48 | $10.46 | 10.47x | $99.02 | $3.5M | 334.3K | 117 |
| 2021 | $116.42 | $12.15 | 9.58x | $104.27 | $4.3M | 355.0K | 120 |
| 2022 | $129.87 | $13.06 | 9.94x | $116.81 | $3.6M | 279.2K | 114 |
| 2023 | $138.86 | $13.21 | 10.51x | $125.65 | $3.5M | 267.3K | 103 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 101.4K | $4.9M | $47.89 | 5.08x |
| 80053 | Blood test, comprehensive group of blood chemicals | 252.4K | $2.9M | $11.45 | 6.39x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 117.5K | $2.3M | $19.33 | 4.37x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 154.6K | $2.1M | $13.83 | 6.13x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 187.7K | $1.6M | $8.63 | 5.96x |
| 82306 | Vitamin d-3 level | 47.1K | $1.6M | $33.26 | 5.77x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 148.2K | $1.4M | $9.27 | 7.09x |
| 83036 | Hemoglobin a1c level | 98.9K | $1.1M | $11.11 | 4.99x |
| 83970 | Parathormone (parathyroid hormone) level | 22.2K | $1.0M | $46.50 | 4.13x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 48.5K | $829.3K | $17.11 | 6.68x |
| 87086 | Bacterial colony count, urine | 81.3K | $760.6K | $9.36 | 4.15x |
| 36415 | Insertion of needle into vein for collection of blood sample | 239.0K | $740.1K | $3.10 | 1.56x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 95.9K | $715.6K | $7.46 | 5.47x |
| 82728 | Ferritin (blood protein) level | 45.3K | $700.7K | $15.46 | 4.20x |
| 84153 | Psa (prostate specific antigen) measurement, total | 31.4K | $673.9K | $21.44 | 3.78x |
| 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 | 8.2K | $614.0K | $74.88 | 4.52x |
| 85610 | Blood test, clotting time | 128.2K | $609.5K | $4.75 | 5.95x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 14.7K | $567.6K | $38.59 | 3.29x |
| 80076 | Liver function blood test panel | 54.2K | $466.7K | $8.61 | 6.94x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 21.0K | $444.7K | $21.21 | 2.45x |
This provider submits charges 5.29 times higher than what Medicare actually pays.
A markup ratio of 5.29x means for every $100 Medicare pays, this provider initially charges $529. 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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