This provider's $29.6M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 71% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $36.52 | $13.64 | 2.68x | $22.88 | $2.3M | 169.7K | 125 |
| 2015 | $37.14 | $12.93 | 2.87x | $24.21 | $2.1M | 164.3K | 121 |
| 2016 | $38.65 | $13.64 | 2.83x | $25.01 | $2.5M | 183.6K | 121 |
| 2017 | $39.20 | $13.98 | 2.80x | $25.22 | $2.6M | 188.2K | 127 |
| 2018 | $39.18 | $14.06 | 2.79x | $25.12 | $2.9M | 208.9K | 127 |
| 2019 | $39.64 | $12.90 | 3.07x | $26.74 | $3.1M | 240.9K | 143 |
| 2020 | $41.42 | $13.62 | 3.04x | $27.80 | $2.8M | 207.0K | 129 |
| 2021 | $41.08 | $12.88 | 3.19x | $28.20 | $3.4M | 266.5K | 136 |
| 2022 | $41.46 | $12.57 | 3.30x | $28.89 | $3.7M | 297.5K | 134 |
| 2023 | $41.72 | $12.20 | 3.42x | $29.52 | $4.0M | 325.0K | 143 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 82306 | Vitamin d-3 level | 91.2K | $3.0M | $32.48 | 2.15x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 132.5K | $2.5M | $19.03 | 2.10x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 183.5K | $2.3M | $12.55 | 3.19x |
| 80053 | Blood test, comprehensive group of blood chemicals | 185.7K | $2.1M | $11.22 | 4.01x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 223.1K | $2.0M | $8.84 | 4.15x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 31.5K | $1.7M | $55.41 | 2.71x |
| 83036 | Hemoglobin a1c level | 138.5K | $1.5M | $10.86 | 2.76x |
| 84153 | Psa (prostate specific antigen) measurement, total | 49.7K | $1.0M | $20.77 | 3.08x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 10.2K | $791.8K | $77.43 | 1.35x |
| 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 | 7.3K | $646.8K | $88.30 | 1.70x |
| 82378 | Carcinoembryonic antigen (cea) protein level | 25.6K | $550.3K | $21.49 | 1.91x |
| 82043 | Urine microalbumin (protein) level | 72.8K | $467.5K | $6.42 | 5.03x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 78.1K | $449.8K | $5.76 | 3.65x |
| 81001 | Manual urinalysis test with examination using microscope, automated | 126.9K | $435.5K | $3.43 | 3.64x |
| 84439 | Thyroxine (thyroid chemical), free | 43.3K | $435.4K | $10.06 | 3.48x |
| 83970 | Parathormone (parathyroid hormone) level | 9.2K | $429.8K | $46.56 | 2.47x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 50.3K | $420.2K | $8.35 | 4.79x |
| 84550 | Uric acid level, blood | 95.4K | $401.5K | $4.21 | 3.56x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 23.3K | $390.6K | $16.77 | 1.97x |
| 82105 | Alpha-fetoprotein (afp) level, serum | 20.5K | $388.7K | $18.95 | 2.80x |
This provider submits charges 3.04 times higher than what Medicare actually pays.
A markup ratio of 3.04x means for every $100 Medicare pays, this provider initially charges $304. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Genomic Health, Inc. | Redwood City, CA | $887.6M | ✓ Clear |
| Unilab Corporation | West Hills, CA | $868.8M | ⚠️ Flagged |
| Caredx Inc. | Brisbane, CA | $751.0M | ✓ Clear |
| Laboratory Corporation Of America | San Diego, CA | $592.4M | ⚠️ Flagged |
| Millennium Health, Llc | San Diego, CA | $587.9M | ✓ 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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