This provider's $30.5M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 944% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 266% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $26.44 | $11.85 | 2.23x | $14.59 | $520.4K | 43.9K | 82 |
| 2016 | $25.57 | $11.39 | 2.24x | $14.18 | $1.9M | 167.4K | 129 |
| 2017 | $26.33 | $11.87 | 2.22x | $14.46 | $2.7M | 225.3K | 148 |
| 2018 | $25.66 | $10.90 | 2.35x | $14.76 | $3.0M | 279.4K | 155 |
| 2019 | $25.39 | $9.85 | 2.58x | $15.54 | $2.9M | 296.9K | 169 |
| 2020 | $37.79 | $14.69 | 2.57x | $23.10 | $4.6M | 313.6K | 167 |
| 2021 | $37.78 | $13.52 | 2.79x | $24.26 | $4.8M | 353.7K | 187 |
| 2022 | $31.04 | $10.93 | 2.84x | $20.11 | $4.6M | 423.6K | 194 |
| 2023 | $28.58 | $10.15 | 2.82x | $18.43 | $5.4M | 535.4K | 220 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 295.7K | $3.3M | $11.12 | 2.61x |
| 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 | 37.5K | $3.3M | $87.18 | 2.58x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 174.4K | $2.4M | $13.75 | 2.69x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 126.5K | $2.3M | $18.08 | 2.54x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 204.8K | $1.7M | $8.38 | 2.62x |
| 82306 | Vitamin d-3 level | 46.3K | $1.5M | $31.39 | 2.58x |
| 36415 | Insertion of needle into vein for collection of blood sample | 345.8K | $1.2M | $3.54 | 1.69x |
| 83036 | Hemoglobin a1c level | 106.6K | $1.1M | $10.39 | 2.60x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 82.9K | $759.6K | $9.17 | 2.62x |
| 84153 | Psa (prostate specific antigen) measurement, total | 32.6K | $642.0K | $19.71 | 3.02x |
| 83970 | Parathormone (parathyroid hormone) level | 13.3K | $582.6K | $43.68 | 2.59x |
| 87086 | Bacterial colony count, urine | 58.2K | $516.8K | $8.88 | 2.95x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 69.1K | $494.6K | $7.16 | 2.51x |
| 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 | 18.6K | $463.5K | $24.90 | 2.51x |
| 84439 | Thyroxine (thyroid chemical), free | 46.3K | $449.9K | $9.71 | 2.58x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 24.6K | $398.8K | $16.22 | 2.59x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 9.7K | $389.0K | $39.99 | 2.33x |
| 82728 | Ferritin (blood protein) level | 18.8K | $280.7K | $14.89 | 2.55x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 51.0K | $279.7K | $5.49 | 2.73x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 28.3K | $270.2K | $9.55 | 2.51x |
This provider submits charges 2.61 times higher than what Medicare actually pays.
A markup ratio of 2.61x means for every $100 Medicare pays, this provider initially charges $261. 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 VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Rca Laboratory Services, Llc | Glen Allen, VA | $76.0M | ✓ Clear |
| Quest Diagnostics Nichols Institute, Inc. | Chantilly, VA | $37.8M | ✓ Clear |
| Vista Clinical Diagnostics Llc | Danville, VA | $35.2M | ✓ 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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