This provider's $29.1M in total Medicare payments ranks in the 97th 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 | $62.45 | $19.85 | 3.15x | $42.60 | $3.7M | 393.9K | 212.2K |
| 2015 | $65.23 | $20.49 | 3.18x | $44.74 | $4.0M | 409.5K | 224.7K |
| 2016 | $64.85 | $20.70 | 3.13x | $44.15 | $4.1M | 412.1K | 224.7K |
| 2017 | $66.40 | $22.71 | 2.92x | $43.69 | $4.0M | 378.9K | 213.6K |
| 2018 | $64.53 | $21.60 | 2.99x | $42.93 | $3.5M | 321.4K | 185.9K |
| 2019 | $64.32 | $18.64 | 3.45x | $45.68 | $2.9M | 291.3K | 171.9K |
| 2020 | $57.67 | $16.20 | 3.56x | $41.47 | $2.9M | 279.6K | 184.0K |
| 2021 | $62.48 | $17.70 | 3.53x | $44.78 | $2.4M | 235.7K | 147.1K |
| 2022 | $58.02 | $15.61 | 3.72x | $42.41 | $1.7M | 169.4K | 115.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 249.7K | $3.0M | $11.95 | 4.37x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 129.6K | $2.6M | $20.45 | 2.93x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 263.9K | $1.9M | $7.19 | 4.17x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 128.9K | $1.8M | $14.07 | 4.44x |
| 83036 | Hemoglobin A1C level | 115.1K | $1.3M | $11.72 | 3.84x |
| 80048 | Blood test, basic group of blood chemicals | 119.6K | $1.2M | $10.09 | 3.96x |
| 36415 | Insertion of needle into vein for collection of blood sample | 390.2K | $1.1M | $2.94 | 1.56x |
| 82306 | Vitamin D-3 level | 29.2K | $1.0M | $35.52 | 1.97x |
| 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 | 11.3K | $896.8K | $79.41 | 1.31x |
| 87086 | Bacterial colony count, urine | 82.1K | $808.4K | $9.84 | 3.56x |
| 83970 | Parathormone (parathyroid hormone) level | 13.9K | $685.4K | $49.29 | 3.30x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 14.8K | $636.2K | $42.94 | 2.23x |
| 85610 | Blood test, clotting time | 119.6K | $598.5K | $5.00 | 4.99x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) | 50.5K | $533.0K | $10.55 | 1.90x |
| 87077 | Bacterial culture for aerobic isolates | 48.3K | $475.0K | $9.84 | 5.26x |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 93.1K | $456.1K | $4.90 | 1.02x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 23.5K | $423.5K | $17.99 | 3.70x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 49.5K | $391.5K | $7.90 | 3.44x |
| 84153 | PSA (prostate specific antigen) measurement | 16.8K | $375.5K | $22.33 | 3.14x |
| 84439 | Thyroxine (thyroid chemical) measurement | 30.8K | $338.0K | $10.97 | 6.44x |
This provider submits charges 3.47 times higher than what Medicare actually pays.
A markup ratio of 3.47x means for every $100 Medicare pays, this provider initially charges $347. 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 KS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Labone Llc | Lenexa, KS | $435.5M | ⚠️ Flagged |
| Laboratory Corporation Of America Holdings | Overland Park, KS | $47.4M | ⚠️ Flagged |
| Eurofins Transplant Genomics, Llc | Lenexa, KS | $44.8M | ✓ Clear |
| Cotton O'neil Clinic Revocable Trust | Topeka, KS | $37.9M | ⚠️ Flagged |
| Biodesix, Inc. | De Soto, KS | $36.2M | ✓ 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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