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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Cap Diagnostics Llc
๐Ÿ”ฌ
Organization

Cap Diagnostics Llc

NPI: 1508594136
Lake Mary, FL
2 years of data
Clinical Laboratory
$22.1M
Total Payments
32
Beneficiaries
584.4K
Services
2.13x
Markup Ratio

Peer Comparison

96th
percentile in specialty
This provider$22.1M
Specialty median$1.9M

๐Ÿ“‹ Key Findings

1Billed $22.1M over 2 years
22.13x markup ratio (above median)
396th percentile in Clinical Laboratory by payments
4Payments surged 881% in 2023
53 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $22.1M in total Medicare payments ranks in the 96th percentile of Clinical Laboratory providers nationally.

Medicare payments to this provider grew 881% from 2022 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 881% in 2023

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2022$80.16$36.802.18x$43.36$2.0M55.6K13
2023$80.37$37.922.12x$42.45$20.1M528.8K19

Top Procedures (19)

87798Detection test by nucleic acid for organism, amplified probe technique
$11.9M
345.1K services$34.37/svc2.69x markup
87801Detection test by nucleic acid for multiple organisms, amplified probe(s) technique
$3.9M
57.0K services$68.80/svc1.45x markup
87481Detection test for candida species (yeast), amplified probe technique
$2.7M
78.9K services$34.37/svc1.45x markup
87500Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique
$914.7K
26.6K services$34.37/svc1.45x markup
87653Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique
$914.7K
26.6K services$34.38/svc1.45x markup
87640Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique
$911.7K
26.5K services$34.38/svc1.45x markup
87511Detection test for gardnerella vaginalis (bacteria), amplified probe technique
$613.2K
17.8K services$34.38/svc1.45x markup
U0003Infectious 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-rโš  4.5x markup
$33.1K
450 services$73.50/svc4.51x markup
87637Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virusโš  3.9x markup
$32.4K
232 services$139.78/svc3.92x markup
87491Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique
$26.6K
774 services$34.39/svc1.45x markup
87591Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique
$26.3K
764 services$34.39/svc1.45x markup
87661Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique
$25.6K
745 services$34.39/svc1.45x markup
87556Detection test by nucleic acid for mycobacteria tuberculosis (tb bacteria), amplified probe technique
$25.4K
622 services$40.85/svc1.22x markup
87529Detection test by nucleic acid for herpes simplex virus, amplified probe technique
$21.6K
627 services$34.39/svc1.45x markup
87532Detection test by nucleic acid for herpes virus-6, amplified probe technique
$20.5K
596 services$34.39/svc1.45x markup
87496Detection test by nucleic acid for cytomegalovirus (cmv), amplified probe technique
$19.7K
572 services$34.39/svc1.45x markup
87641Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique
$11.1K
324 services$34.31/svc1.46x markup
U0005Infectious 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
$3.1K
128 services$24.50/svc2.30x markup
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigenโš  4.5x markup
$804.48
16 services$50.28/svc4.47x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
87798Detection test by nucleic acid for organism, amplified probe technique345.1K$11.9M$34.372.69x
87801Detection test by nucleic acid for multiple organisms, amplified probe(s) technique57.0K$3.9M$68.801.45x
87481Detection test for candida species (yeast), amplified probe technique78.9K$2.7M$34.371.45x
87500Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique26.6K$914.7K$34.371.45x
87653Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique26.6K$914.7K$34.381.45x
87640Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique26.5K$911.7K$34.381.45x
87511Detection test for gardnerella vaginalis (bacteria), amplified probe technique17.8K$613.2K$34.381.45x
U0003Infectious 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-r450$33.1K$73.504.51x
87637Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus232$32.4K$139.783.92x
87491Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique774$26.6K$34.391.45x
87591Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique764$26.3K$34.391.45x
87661Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique745$25.6K$34.391.45x
87556Detection test by nucleic acid for mycobacteria tuberculosis (tb bacteria), amplified probe technique622$25.4K$40.851.22x
87529Detection test by nucleic acid for herpes simplex virus, amplified probe technique627$21.6K$34.391.45x
87532Detection test by nucleic acid for herpes virus-6, amplified probe technique596$20.5K$34.391.45x
87496Detection test by nucleic acid for cytomegalovirus (cmv), amplified probe technique572$19.7K$34.391.45x
87641Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique324$11.1K$34.311.46x
U0005Infectious 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 within128$3.1K$24.502.30x
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen16$804.48$50.284.47x

Markup Analysis

Charge-to-Payment Ratio

2.13x

This provider submits charges 2.13 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.13x means for every $100 Medicare pays, this provider initially charges $213. This is higher than the national average.

Location

Lake Mary, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Clinical Laboratory providers in FL for peer comparison.

Cap Diagnostics Llc (you)
$22.1M
Quest Diagnostics Clinical Laboratories Incโš ๏ธ
$1.0B
Laboratory Corporation Of Americaโš ๏ธ
$463.1M
Quest Diagnostics Clinical Laboratories Incโš ๏ธ
$417.1M
American Health S, Llc
$175.7M
Ameripath Florida Llc
$80.1M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Quest Diagnostics Clinical Laboratories IncTampa, FL$1.0Bโš ๏ธ Flagged
Laboratory Corporation Of AmericaTampa, FL$463.1Mโš ๏ธ Flagged
Quest Diagnostics Clinical Laboratories IncMiramar, FL$417.1Mโš ๏ธ Flagged
American Health S, LlcDavie, FL$175.7Mโœ“ Clear
Ameripath Florida LlcPompano Beach, FL$80.1Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data