This provider's $19.0M in total Medicare payments ranks in the 95th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 2318% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 608% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $6.20 | $2.94 | 2.11x | $3.26 | $122.8K | 41.8K | 29 |
| 2018 | $6.91 | $3.39 | 2.04x | $3.52 | $869.2K | 256.1K | 44 |
| 2019 | $8.35 | $4.11 | 2.03x | $4.24 | $1.1M | 272.5K | 50 |
| 2020 | $35.01 | $17.58 | 1.99x | $17.43 | $5.4M | 307.7K | 70 |
| 2021 | $27.24 | $13.65 | 2.00x | $13.59 | $5.0M | 369.1K | 58 |
| 2022 | $18.16 | $9.01 | 2.02x | $9.15 | $3.4M | 382.5K | 63 |
| 2023 | $12.65 | $6.39 | 1.98x | $6.26 | $3.0M | 464.7K | 73 |
| 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 | 70.2K | $5.8M | $82.86 | 2.00x |
| 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 | 49.2K | $1.2M | $24.95 | 2.00x |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 173.4K | $1.1M | $6.63 | 2.03x |
| 80053 | Blood test, comprehensive group of blood chemicals | 99.0K | $1.1M | $10.75 | 2.03x |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 990.5K | $1.0M | $1.02 | 1.80x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 122.8K | $971.1K | $7.91 | 2.03x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 43.7K | $753.1K | $17.25 | 2.03x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 86.0K | $735.1K | $8.54 | 2.03x |
| 87633 | Detection test for multiple types of respiratory virus | 1.5K | $642.4K | $415.55 | 2.02x |
| 82306 | Vitamin d-3 level | 20.9K | $641.7K | $30.75 | 2.03x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 12.5K | $433.1K | $34.60 | 2.03x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 30.5K | $416.2K | $13.66 | 2.03x |
| 36415 | Insertion of needle into vein for collection of blood sample | 96.0K | $374.0K | $3.90 | 2.18x |
| 83036 | Hemoglobin a1c level | 26.9K | $268.4K | $9.97 | 2.03x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 35.4K | $230.0K | $6.50 | 2.02x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 6.0K | $208.4K | $34.57 | 2.02x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 11.0K | $172.5K | $15.72 | 2.03x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 2.2K | $150.5K | $68.90 | 2.04x |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 1.5K | $142.9K | $95.11 | 2.01x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 3.6K | $140.5K | $38.92 | 2.02x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. 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 MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Incorporated Md | Baltimore, MD | $318.4M | ⚠️ Flagged |
| Genedx Llc | Gaithersburg, MD | $67.3M | ✓ Clear |
| Theranostix Inc | Beltsville, MD | $61.4M | ✓ Clear |
| Realtox Labs, Llc | Reisterstown, MD | $53.6M | ✓ Clear |
| Cirrus Dx, Inc. | Rockville, MD | $37.3M | ✓ 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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