Statistical flag only — not an accusation of fraud
This provider's $30.7M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
This provider has been statistically flagged with a risk score of 70/100. Statistical flags are not accusations of fraud.
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 | $11.58 | $6.69 | 1.73x | $4.89 | $3.5M | 526.2K | 152 |
| 2015 | $12.70 | $8.00 | 1.59x | $4.70 | $3.1M | 386.7K | 181 |
| 2016 | $12.92 | $8.11 | 1.59x | $4.81 | $3.5M | 428.8K | 190 |
| 2017 | $14.36 | $9.96 | 1.44x | $4.40 | $3.1M | 309.8K | 189 |
| 2018 | $14.47 | $11.64 | 1.24x | $2.83 | $3.4M | 290.2K | 191 |
| 2019 | $16.65 | $12.78 | 1.30x | $3.87 | $2.9M | 225.4K | 175 |
| 2020 | $18.11 | $11.82 | 1.53x | $6.29 | $2.5M | 215.4K | 169 |
| 2021 | $15.79 | $12.09 | 1.31x | $3.70 | $2.9M | 237.6K | 175 |
| 2022 | $115.62 | $11.90 | 9.72x | $103.72 | $2.7M | 229.2K | 165 |
| 2023 | $112.01 | $12.36 | 9.06x | $99.65 | $3.1M | 254.2K | 182 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 86.5K | $1.7M | $19.87 | 2.00x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 204.8K | $1.7M | $8.26 | 1.73x |
| 80197 | Tacrolimus level | 82.4K | $1.3M | $15.41 | 3.04x |
| 82306 | Vitamin d-3 level | 31.5K | $954.4K | $30.29 | 3.22x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 71.4K | $900.6K | $12.61 | 2.63x |
| 36415 | Insertion of needle into vein for collection of blood sample | 249.1K | $875.4K | $3.51 | 2.29x |
| 80053 | Blood test, comprehensive group of blood chemicals | 79.8K | $872.2K | $10.93 | 11.70x |
| 82784 | Gammaglobulin (immune system protein) measurement | 98.5K | $850.8K | $8.63 | 2.78x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 45.0K | $775.1K | $17.21 | 2.69x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 15.2K | $760.4K | $50.09 | 4.20x |
| 83970 | Parathormone (parathyroid hormone) level | 15.5K | $753.1K | $48.44 | 1.18x |
| 83036 | Hemoglobin a1c level | 62.6K | $714.4K | $11.42 | 2.14x |
| 83883 | Nephelometry, test method using light | 42.6K | $683.4K | $16.05 | 1.27x |
| 86635 | Analysis for antibody to coccidioides (bacteria) | 47.5K | $607.7K | $12.78 | 3.35x |
| 84153 | Psa (prostate specific antigen) measurement, total | 24.0K | $527.1K | $21.98 | 1.79x |
| 84165 | Protein measurement, serum | 40.8K | $500.6K | $12.28 | 3.11x |
| 87799 | Detection test by nucleic acid for organism, quantification | 8.3K | $440.0K | $53.26 | 1.49x |
| 82746 | Folic acid level, serum | 24.9K | $428.6K | $17.19 | 2.27x |
| 82565 | Blood creatinine level | 124.2K | $417.3K | $3.36 | 2.87x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 46.6K | $395.8K | $8.50 | 7.22x |
This provider submits charges 2.98 times higher than what Medicare actually pays.
A markup ratio of 2.98x means for every $100 Medicare pays, this provider initially charges $298. 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 AZ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Sonora Quest Laboratories Llc | Phoenix, AZ | $565.3M | ⚠️ Flagged |
| Laboratory Corporation Of America | Phoenix, AZ | $389.8M | ⚠️ Flagged |
| Caris Mpi, Inc. | Phoenix, AZ | $382.6M | ⚠️ Flagged |
| Castle Biosciences, Inc | Phoenix, AZ | $258.8M | ✓ Clear |
| Genetic Technological Innovations, Llc | Scottsdale, AZ | $93.5M | ⚠️ 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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