This provider's $75.4M 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.
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 | $29.83 | $11.61 | 2.57x | $18.22 | $6.1M | 523.1K | 213 |
| 2015 | $29.97 | $11.78 | 2.54x | $18.19 | $6.1M | 517.4K | 220 |
| 2016 | $30.80 | $12.26 | 2.51x | $18.54 | $6.7M | 548.2K | 216 |
| 2017 | $31.66 | $12.89 | 2.46x | $18.77 | $7.7M | 596.5K | 217 |
| 2018 | $32.34 | $12.76 | 2.53x | $19.58 | $8.1M | 632.7K | 237 |
| 2019 | $32.92 | $11.81 | 2.79x | $21.11 | $8.1M | 687.9K | 244 |
| 2020 | $35.84 | $12.45 | 2.88x | $23.39 | $8.2M | 657.3K | 234 |
| 2021 | $35.64 | $12.31 | 2.90x | $23.33 | $8.7M | 707.3K | 235 |
| 2022 | $34.23 | $11.58 | 2.96x | $22.65 | $8.0M | 692.6K | 244 |
| 2023 | $33.72 | $11.64 | 2.90x | $22.08 | $7.7M | 665.6K | 235 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 659.1K | $7.4M | $11.30 | 2.74x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 358.8K | $6.8M | $19.03 | 2.39x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 426.6K | $5.9M | $13.85 | 2.84x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 591.3K | $5.2M | $8.84 | 2.58x |
| 82306 | Vitamin d-3 level | 102.0K | $3.2M | $31.45 | 2.24x |
| 83036 | Hemoglobin a1c level | 288.2K | $3.1M | $10.82 | 3.29x |
| 36415 | Insertion of needle into vein for collection of blood sample | 786.1K | $2.8M | $3.51 | 3.72x |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 26.6K | $2.3M | $85.03 | 2.32x |
| 84153 | Psa (prostate specific antigen) measurement, total | 73.3K | $1.5M | $20.51 | 2.63x |
| 84439 | Thyroxine (thyroid chemical), free | 134.9K | $1.4M | $10.21 | 3.24x |
| 83970 | Parathormone (parathyroid hormone) level | 27.9K | $1.3M | $46.15 | 2.62x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 122.4K | $1.2M | $9.44 | 2.63x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 27.7K | $1.1M | $41.39 | 2.40x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 62.2K | $1.1M | $16.90 | 2.98x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 14.9K | $974.8K | $65.26 | 2.39x |
| 87086 | Bacterial colony count, urine | 107.0K | $956.1K | $8.93 | 3.32x |
| G0480 | 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 | 9.5K | $948.5K | $99.57 | 1.08x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 44.0K | $915.9K | $20.82 | 2.59x |
| 84403 | Testosterone (hormone) level, total | 30.3K | $868.7K | $28.69 | 2.21x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 16.5K | $812.6K | $49.27 | 3.14x |
This provider submits charges 2.72 times higher than what Medicare actually pays.
A markup ratio of 2.72x means for every $100 Medicare pays, this provider initially charges $272. 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 OR for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Legacy Laboratory Services, Llc | Portland, OR | $35.7M | ✓ 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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