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 271% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 304% 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 | $61.18 | $14.22 | 4.30x | $46.96 | $913.5K | 64.2K | 89 |
| 2015 | $59.72 | $13.06 | 4.57x | $46.66 | $960.4K | 73.5K | 82 |
| 2016 | $109.84 | $20.01 | 5.49x | $89.83 | $1.1M | 53.7K | 96 |
| 2017 | $160.99 | $25.45 | 6.33x | $135.54 | $619.1K | 24.3K | 72 |
| 2018 | $247.23 | $47.64 | 5.19x | $199.59 | $1.3M | 26.3K | 77 |
| 2019 | $348.25 | $166.29 | 2.09x | $181.96 | $5.1M | 30.5K | 82 |
| 2020 | $248.70 | $224.72 | 1.11x | $23.98 | $4.9M | 21.8K | 76 |
| 2021 | $253.27 | $226.10 | 1.12x | $27.17 | $8.5M | 37.4K | 92 |
| 2022 | $11.91 | $5.84 | 2.04x | $6.07 | $3.9M | 661.1K | 104 |
| 2023 | $14.85 | $7.39 | 2.01x | $7.46 | $3.4M | 458.0K | 107 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81408 | Molecular pathology procedure level 9 | 3.4K | $6.7M | $2.0K | 1.11x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 59.1K | $2.0M | $34.50 | 2.03x |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 6.5K | $1.6M | $241.98 | 4.50x |
| 81407 | Molecular pathology procedure level 8 | 1.8K | $1.5M | $845.39 | 1.09x |
| 81405 | Molecular pathology procedure level 6 | 4.1K | $1.2M | $300.04 | 1.14x |
| 81404 | Molecular pathology procedure level 5 | 4.1K | $1.1M | $273.87 | 1.11x |
| 81406 | Molecular pathology procedure level 7 | 3.8K | $1.1M | $282.00 | 1.11x |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 871.3K | $913.6K | $1.05 | 1.99x |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 4.8K | $909.1K | $189.88 | 7.25x |
| 81439 | Test for detecting genes associated with inherited disease of heart muscle | 1.5K | $889.7K | $584.20 | 1.11x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 10.9K | $745.6K | $68.67 | 2.02x |
| 81442 | Gene analysis (noonan syndrome) genomic sequence analysis | 240 | $510.1K | $2.1K | 1.13x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 14.3K | $492.3K | $34.49 | 2.03x |
| 80053 | Blood test, comprehensive group of blood chemicals | 35.7K | $485.8K | $13.62 | 5.92x |
| 81225 | Gene analysis (cytochrome P450, family 2, subfamily C, polypeptide 19) common variants | 1.7K | $481.7K | $285.53 | 1.68x |
| 82306 | Vitamin d-3 level | 12.7K | $457.7K | $35.90 | 3.39x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 6.3K | $418.4K | $66.81 | 4.26x |
| 81226 | Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) common variants | 922 | $407.4K | $441.89 | 1.71x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 20.8K | $404.8K | $19.45 | 2.11x |
| 81435 | Test for detecting genes associated with colon cancer, genomic sequence analysis panel, at least 10 genes | 578 | $364.4K | $630.50 | 1.49x |
This provider submits charges 2.13 times higher than what Medicare actually pays.
A markup ratio of 2.13x means for every $100 Medicare pays, this provider initially charges $213. 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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