This provider's $27.3M in total Medicare payments ranks in the 96th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 276% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 52% in 2020
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 | $81.77 | $37.91 | 2.16x | $43.86 | $851.0K | 22.4K | 14 |
| 2015 | $83.76 | $37.42 | 2.24x | $46.34 | $991.1K | 26.5K | 14 |
| 2016 | $85.82 | $37.87 | 2.27x | $47.95 | $1.1M | 29.1K | 16 |
| 2017 | $105.73 | $37.37 | 2.83x | $68.36 | $1.3M | 35.6K | 15 |
| 2018 | $98.99 | $29.86 | 3.32x | $69.13 | $1.6M | 53.2K | 22 |
| 2019 | $91.36 | $25.82 | 3.54x | $65.54 | $2.3M | 89.2K | 22 |
| 2020 | $88.15 | $34.03 | 2.59x | $54.12 | $3.5M | 102.7K | 26 |
| 2021 | $71.03 | $32.57 | 2.18x | $38.46 | $5.1M | 155.5K | 27 |
| 2022 | $71.16 | $36.86 | 1.93x | $34.30 | $7.4M | 200.9K | 30 |
| 2023 | $79.14 | $24.42 | 3.24x | $54.72 | $3.2M | 131.1K | 30 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 101.5K | $8.0M | $78.37 | 1.47x |
| 88365 | Genetic sequencing localization, initial procedure | 22.1K | $3.5M | $159.28 | 1.33x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 32.0K | $2.6M | $79.88 | 1.57x |
| 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 | 84.1K | $2.1M | $24.82 | 1.01x |
| 86609 | Analysis for antibody bacteria | 120.3K | $1.6M | $13.07 | 1.87x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 41.5K | $1.5M | $36.56 | 2.68x |
| 86317 | Detection of infectious agent antibody, quantitative | 81.5K | $1.3M | $16.43 | 3.30x |
| 86617 | Confirmation test for antibody to borrelia burgdorferi (lyme disease bacteria) | 49.2K | $923.2K | $18.77 | 4.46x |
| 86666 | Analysis for antibody to ehrlichia (bacteria transmitted by ticks) | 65.5K | $742.9K | $11.35 | 6.80x |
| 87800 | Detection test for multiple organisms | 13.0K | $681.3K | $52.52 | 2.02x |
| 86611 | Analysis for antibody to bartonella (bacteria) | 49.6K | $550.7K | $11.09 | 4.68x |
| 86618 | Analysis for antibody borrelia burgdorferi (lyme disease bacteria) | 26.1K | $494.6K | $18.92 | 7.76x |
| 86753 | Analysis for antibody to protozoa (parasite) | 36.1K | $453.0K | $12.54 | 6.07x |
| 86757 | Analysis for antibody to rickettsia (bacteria) | 21.9K | $450.1K | $20.52 | 3.84x |
| 86352 | Analysis of cell function and analysis for genetic marker | 2.4K | $338.4K | $142.36 | 2.07x |
| 84182 | Protein measurement, immunological probe for band identification | 9.8K | $273.8K | $27.95 | 1.11x |
| 87476 | Detection by nucleic acid for borrelia burgdorferi (bacteria), amplified probe technique | 7.0K | $248.9K | $35.63 | 3.65x |
| 86619 | Analysis for antibody to borrelia (relapsing fever bacteria) | 14.5K | $210.1K | $14.47 | 4.78x |
| 86318 | Test for detection of infectious agent antibody, qualitative or semiquantitative | 11.6K | $206.5K | $17.82 | 9.45x |
| 87637 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus | 1.3K | $181.2K | $139.78 | 1.14x |
This provider submits charges 2.51 times higher than what Medicare actually pays.
A markup ratio of 2.51x means for every $100 Medicare pays, this provider initially charges $251. 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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