This provider's $67.3M 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.
Notable: Payments increased 108% in 2023
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 | $1.3K | $820.90 | 1.62x | $506.24 | $4.8M | 5.9K | 20 |
| 2015 | $1.4K | $982.68 | 1.40x | $392.03 | $10.0M | 10.2K | 19 |
| 2016 | $1.3K | $882.08 | 1.51x | $447.81 | $15.3M | 17.4K | 24 |
| 2017 | $1.2K | $666.08 | 1.85x | $568.34 | $7.3M | 11.0K | 24 |
| 2018 | $1.4K | $749.74 | 1.85x | $638.53 | $7.2M | 9.6K | 24 |
| 2019 | $1.5K | $735.43 | 2.01x | $745.61 | $5.1M | 7.0K | 23 |
| 2020 | $1.6K | $776.86 | 2.01x | $786.99 | $4.0M | 5.2K | 34 |
| 2021 | $2.0K | $1.1K | 1.83x | $899.18 | $6.5M | 6.0K | 36 |
| 2022 | $1.7K | $725.84 | 2.34x | $970.37 | $2.3M | 3.1K | 33 |
| 2023 | $2.8K | $618.36 | 4.48x | $2.2K | $4.7M | 7.6K | 34 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81211 | Gene analysis (breast cancer 1 and 2) full sequence and common duplication or deletion variants | 8.8K | $18.5M | $2.1K | 1.38x |
| 81162 | Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants | 5.1K | $10.8M | $2.1K | 1.56x |
| 81213 | Gene analysis (breast cancer 1 and 2) uncommon duplication or deletion variants | 8.6K | $4.9M | $567.72 | 1.16x |
| 81201 | Gene analysis (adenomatous polyposis coli), full gene sequence | 5.9K | $4.4M | $742.88 | 1.23x |
| 81406 | Molecular pathology procedure level 7 | 6.4K | $2.5M | $386.96 | 3.44x |
| 81203 | Gene analysis (adenomatous polyposis coli), duplication or deletion variants | 5.4K | $2.3M | $421.80 | 1.35x |
| 81292 | Gene analysis (mutl homolog 1, colon cancer, nonpolyposis type 2) full sequence analysis | 3.3K | $2.1M | $639.52 | 1.67x |
| 81408 | Molecular pathology procedure level 9 | 1.0K | $2.1M | $2.0K | 1.22x |
| 81416 | Test for detecting exome, sequence analysis, each comparator exome | 281 | $2.0M | $7.2K | 1.00x |
| 81415 | Test for detecting exome, sequence analysis | 377 | $1.8M | $4.7K | 1.59x |
| 81460 | Test for detecting genes associated with disease, genomic sequence, must include sequence analysis of entire mitochondrial genome | 1.2K | $1.5M | $1.3K | 1.59x |
| 81295 | Gene analysis (muts homolog 2, colon cancer, nonpolyposis type 1) full sequence analysis | 6.3K | $1.5M | $243.55 | 3.81x |
| 81432 | Test for detecting genes associated with inherited breast cancer-related disorders | 2.0K | $1.3M | $666.36 | 9.34x |
| 81317 | Gene analysis (postmeiotic segregation increased 2 [s cerevisiae]) full sequence analysis | 1.8K | $1.3M | $735.06 | 1.09x |
| 81298 | Gene analysis (muts homolog 6 [e coli]) full sequence analysis | 2.7K | $1.1M | $396.82 | 2.62x |
| 81407 | Molecular pathology procedure level 8 | 1.1K | $905.3K | $832.81 | 2.62x |
| 81440 | Test for detecting genes | 260 | $848.1K | $3.3K | 1.99x |
| 81321 | Gene analysis (phosphatase and tensin homolog), full sequence analysis | 1.3K | $785.9K | $587.35 | 2.98x |
| 81433 | Gene analysis (breast and related cancers), duplication or deletion variants | 1.8K | $781.6K | $430.17 | 3.44x |
| 81465 | Test for detecting genes associated with disease, whole mitochondrial genome | 670 | $615.2K | $918.18 | 1.09x |
This provider submits charges 1.91 times higher than what Medicare actually pays.
A markup ratio of 1.91x means for every $100 Medicare pays, this provider initially charges $191. 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 |
| Theranostix Inc | Beltsville, MD | $61.4M | ✓ Clear |
| Realtox Labs, Llc | Reisterstown, MD | $53.6M | ✓ Clear |
| Cirrus Dx, Inc. | Rockville, MD | $37.3M | ✓ Clear |
| Meritus Medical Laboratory Llc | Hagerstown, MD | $35.9M | ✓ 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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