This provider's $34.6M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 215879% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 8535% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $50.12 | $13.01 | 3.85x | $37.11 | $3.4K | 263 | 11 |
| 2019 | $44.03 | $18.55 | 2.37x | $25.48 | $295.4K | 15.9K | 51 |
| 2020 | $57.66 | $24.20 | 2.38x | $33.46 | $649.8K | 26.9K | 51 |
| 2021 | $388.48 | $363.09 | 1.07x | $25.39 | $10.5M | 28.9K | 42 |
| 2022 | $521.29 | $501.10 | 1.04x | $20.19 | $15.7M | 31.4K | 35 |
| 2023 | $94.60 | $91.61 | 1.03x | $2.99 | $7.4M | 80.7K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81408 | Molecular pathology procedure level 9 | 2.4K | $4.7M | $2.0K | 1.00x |
| 81471 | Test for detecting genes associated with intellectual disability, duplication/deletion gene analysis, at least 60 genes | 2.6K | $2.3M | $900.19 | 1.02x |
| 81440 | Test for detecting genes | 670 | $2.2M | $3.3K | 1.02x |
| 81490 | Test for detecting genes associated with rheumatoid arthritis using immunoassay technique | 2.6K | $2.2M | $827.91 | 1.03x |
| 81238 | Gene analysis (coagulation factor ix) full sequence analysis | 3.2K | $1.9M | $593.48 | 1.01x |
| 81351 | Gene analysis (tumor protein 53) full sequence analysis | 2.8K | $1.8M | $632.29 | 1.03x |
| 81307 | Gene analysis (partner and localizer of brca2) full sequence analysis | 2.5K | $1.7M | $666.38 | 1.02x |
| 81321 | Gene analysis (phosphatase and tensin homolog), full sequence analysis | 2.6K | $1.5M | $591.05 | 1.02x |
| 81443 | Genomic sequence analysis panel for severe inherited conditions with sequencing of 15 or more genes | 614 | $1.5M | $2.4K | 1.04x |
| 81249 | Gene analysis (glucose-6-phosphate dehydrogenase) full sequence analysis | 2.3K | $1.3M | $590.43 | 1.02x |
| 81223 | Gene analysis (cystic fibrosis transmembrane conductance regular) full gene sequence | 2.3K | $1.1M | $491.15 | 1.02x |
| 81404 | Molecular pathology procedure level 5 | 4.1K | $1.1M | $274.79 | 1.02x |
| 81320 | Gene analysis (phospholipase c gamma 2) for common variants | 3.2K | $926.8K | $287.02 | 1.05x |
| 81407 | Molecular pathology procedure level 8 | 975 | $825.1K | $846.27 | 1.00x |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 68.7K | $807.7K | $11.76 | 1.06x |
| 81405 | Molecular pathology procedure level 6 genetic analysis | 2.7K | $807.0K | $301.36 | 1.03x |
| 81406 | Molecular pathology procedure level 7 | 2.3K | $648.1K | $282.88 | 1.03x |
| 81465 | Test for detecting genes associated with disease, whole mitochondrial genome | 670 | $618.1K | $922.53 | 1.02x |
| 81218 | Gene analysis (ccaat/enhancer binding protein [c/ebp], alpha) full gene sequence | 2.5K | $599.3K | $238.08 | 1.05x |
| 81414 | Test for detecting genes associated with heart disease, duplication/deletion analysis panel, at least 2 genes | 1.0K | $586.7K | $584.90 | 1.01x |
This provider submits charges 1.08 times higher than what Medicare actually pays.
A markup ratio of 1.08x means for every $100 Medicare pays, this provider initially charges $108. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Clinical Laboratories Inc | Tampa, FL | $1.0B | ⚠️ Flagged |
| Laboratory Corporation Of America | Tampa, FL | $463.1M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Miramar, FL | $417.1M | ⚠️ Flagged |
| American Health S, Llc | Davie, FL | $175.7M | ✓ Clear |
| Ameripath Florida Llc | Pompano Beach, FL | $80.1M | ✓ 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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