This provider's $19.7M in total Medicare payments ranks in the 95th 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.
Notable: Payments increased 57% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $50.38 | $16.39 | 3.07x | $33.99 | $1.8M | 164.3K | 84.4K |
| 2015 | $51.43 | $16.27 | 3.16x | $35.16 | $1.6M | 152.8K | 64.0K |
| 2016 | $66.61 | $23.52 | 2.83x | $43.09 | $1.5M | 151.7K | 60.5K |
| 2017 | $65.33 | $23.24 | 2.81x | $42.09 | $1.4M | 141.0K | 58.0K |
| 2018 | $73.09 | $24.71 | 2.96x | $48.38 | $1.5M | 162.6K | 65.2K |
| 2019 | $70.43 | $23.27 | 3.03x | $47.16 | $2.4M | 191.1K | 79.9K |
| 2020 | $67.91 | $24.49 | 2.77x | $43.42 | $3.0M | 117.1K | 42.0K |
| 2021 | $44.34 | $13.99 | 3.17x | $30.35 | $2.2M | 83.4K | 21.2K |
| 2022 | $42.64 | $14.04 | 3.04x | $28.60 | $3.3M | 109.8K | 22.5K |
| 2023 | $40.80 | $13.31 | 3.07x | $27.49 | $822.2K | 74.1K | 23.7K |
| 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 | 63.6K | $5.1M | $80.60 | 2.29x |
| 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. | 73.4K | $1.2M | $16.34 | 2.76x |
| 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 | 40.6K | $1.0M | $24.77 | 1.82x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 94.4K | $862.6K | $9.14 | 2.81x |
| 80053 | Blood test, comprehensive group of blood chemicals | 67.5K | $808.2K | $11.98 | 3.44x |
| 82306 | Vitamin D-3 level | 21.4K | $806.6K | $37.72 | 3.05x |
| G2024 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source | 28.6K | $726.5K | $25.40 | 1.43x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 26.2K | $535.4K | $20.47 | 2.97x |
| 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) | 93.5K | $534.3K | $5.71 | 2.62x |
| 87086 | Bacterial colony count, urine | 48.2K | $471.9K | $9.79 | 3.35x |
| 85730 | Coagulation assessment blood test | 48.1K | $382.2K | $7.95 | 2.81x |
| 36415 | Insertion of needle into vein for collection of blood sample | 125.3K | $379.4K | $3.03 | 3.20x |
| 85610 | Blood test, clotting time | 75.2K | $369.5K | $4.92 | 3.33x |
| 80048 | Blood test, basic group of blood chemicals | 34.7K | $344.6K | $9.92 | 3.34x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 24.3K | $318.4K | $13.08 | 3.54x |
| 84238 | Chemical receptor analysis | 5.0K | $244.2K | $48.78 | 3.06x |
| 87077 | Bacterial culture for aerobic isolates | 28.9K | $229.1K | $7.92 | 4.22x |
| 87801 | Detection test for multiple organisms | 2.8K | $207.8K | $73.91 | 1.76x |
| 83036 | Hemoglobin A1C level | 17.1K | $199.7K | $11.71 | 3.49x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) | 18.8K | $191.2K | $10.19 | 3.36x |
This provider submits charges 2.69 times higher than what Medicare actually pays.
A markup ratio of 2.69x means for every $100 Medicare pays, this provider initially charges $269. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Llc Il | Wood Dale, IL | $446.2M | ⚠️ Flagged |
| Tempus Ai, Inc. | Chicago, IL | $213.4M | ⚠️ Flagged |
| Chicago Clinical Laboratories, Ltd | Northbrook, IL | $66.5M | ⚠️ Flagged |
| Lifescan Labs Of Illinois, Llc | Skokie, IL | $61.6M | ✓ Clear |
| Chicago Care Lab Services Llc | Chicago, IL | $56.7M | ⚠️ 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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