This provider's $119.3M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $19.42 | $14.60 | 1.33x | $4.82 | $16.4M | 1.1M | 95 |
| 2015 | $22.49 | $14.56 | 1.54x | $7.93 | $14.3M | 983.2K | 92 |
| 2016 | $22.67 | $14.39 | 1.58x | $8.28 | $11.9M | 829.2K | 87 |
| 2017 | $23.08 | $14.82 | 1.56x | $8.26 | $12.7M | 857.7K | 98 |
| 2018 | $27.31 | $17.24 | 1.58x | $10.07 | $15.8M | 916.3K | 109 |
| 2019 | $30.73 | $17.89 | 1.72x | $12.84 | $17.4M | 970.9K | 105 |
| 2020 | $31.59 | $16.57 | 1.91x | $15.02 | $12.0M | 725.0K | 101 |
| 2021 | $29.75 | $15.78 | 1.89x | $13.97 | $8.2M | 519.1K | 99 |
| 2022 | $27.15 | $14.49 | 1.87x | $12.66 | $6.0M | 411.1K | 94 |
| 2023 | $21.11 | $14.07 | 1.50x | $7.04 | $4.6M | 327.5K | 97 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 83970 | Parathormone (parathyroid hormone) level | 237.9K | $11.8M | $49.69 | 1.63x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 236.5K | $8.9M | $37.54 | 2.08x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 429.3K | $8.7M | $20.36 | 1.62x |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 694.3K | $7.9M | $11.39 | 1.02x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 173.4K | $7.4M | $42.61 | 1.58x |
| 82306 | Vitamin d-3 level | 204.3K | $7.2M | $35.18 | 1.63x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 367.6K | $6.7M | $18.17 | 1.64x |
| 80053 | Blood test, comprehensive group of blood chemicals | 589.3K | $6.5M | $11.01 | 1.86x |
| 82746 | Folic acid level, serum | 322.4K | $5.7M | $17.70 | 1.64x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 552.9K | $5.2M | $9.35 | 1.66x |
| 84134 | Prealbumin (protein) level | 374.6K | $4.3M | $11.48 | 1.80x |
| 83721 | Ldl cholesterol level | 363.0K | $4.3M | $11.83 | 1.57x |
| 83718 | Hdl cholesterol level | 346.4K | $3.4M | $9.96 | 1.64x |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 22.8K | $3.1M | $134.39 | 1.30x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 48.0K | $2.8M | $57.47 | 1.30x |
| 83036 | Hemoglobin a1c level | 233.9K | $2.7M | $11.60 | 1.67x |
| 83735 | Magnesium level | 274.8K | $2.2M | $8.16 | 1.66x |
| 36415 | Insertion of needle into vein for collection of blood sample | 695.6K | $2.2M | $3.15 | 1.22x |
| 84439 | Thyroxine (thyroid chemical), free | 165.6K | $1.8M | $10.93 | 1.60x |
| 83090 | Homocysteine (amino acid) level | 79.8K | $1.7M | $21.16 | 1.57x |
This provider submits charges 1.62 times higher than what Medicare actually pays.
A markup ratio of 1.62x means for every $100 Medicare pays, this provider initially charges $162. 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 MI for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Biotech Clinical Laboratories Inc | Novi, MI | $89.7M | โ Clear |
| Orchard Laboratories Corp | West Bloomfield, MI | $78.6M | โ ๏ธ 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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