This provider's $37.2M 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 | $36.32 | $9.70 | 3.74x | $26.62 | $3.8M | 391.8K | 129 |
| 2015 | $36.94 | $9.96 | 3.71x | $26.98 | $3.9M | 389.8K | 130 |
| 2016 | $37.57 | $10.18 | 3.69x | $27.39 | $4.1M | 398.3K | 132 |
| 2017 | $37.74 | $10.31 | 3.66x | $27.43 | $4.0M | 386.1K | 133 |
| 2018 | $37.80 | $10.34 | 3.66x | $27.46 | $4.1M | 396.5K | 126 |
| 2019 | $38.29 | $9.54 | 4.01x | $28.75 | $3.9M | 405.8K | 137 |
| 2020 | $38.99 | $9.06 | 4.30x | $29.93 | $3.3M | 368.0K | 130 |
| 2021 | $39.76 | $9.39 | 4.23x | $30.37 | $3.5M | 368.2K | 131 |
| 2022 | $39.45 | $9.25 | 4.26x | $30.20 | $3.4M | 364.0K | 133 |
| 2023 | $39.48 | $9.99 | 3.95x | $29.49 | $3.4M | 335.5K | 124 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 414.1K | $4.8M | $11.57 | 6.91x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 288.1K | $3.9M | $13.70 | 6.06x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 182.1K | $3.5M | $19.43 | 3.02x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 359.9K | $3.2M | $8.96 | 3.05x |
| 36415 | Insertion of needle into vein for collection of blood sample | 730.9K | $2.5M | $3.38 | 2.39x |
| 83036 | Hemoglobin a1c level | 159.1K | $1.8M | $11.24 | 3.06x |
| 82306 | Vitamin d-3 level | 44.9K | $1.5M | $33.85 | 3.04x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 56.2K | $967.0K | $17.20 | 3.06x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 92.6K | $886.2K | $9.57 | 7.21x |
| 84439 | Thyroxine (thyroid chemical), free | 75.9K | $780.3K | $10.27 | 3.05x |
| 85610 | Blood test, clotting time | 153.8K | $747.0K | $4.86 | 2.88x |
| 81001 | Manual urinalysis test with examination using microscope, automated | 185.9K | $674.6K | $3.63 | 3.12x |
| 87088 | Bacterial urine culture | 70.4K | $658.9K | $9.36 | 3.03x |
| 83970 | Parathormone (parathyroid hormone) level | 12.3K | $555.8K | $45.25 | 3.16x |
| 82728 | Ferritin (blood protein) level | 35.8K | $553.8K | $15.49 | 3.07x |
| 84153 | Psa (prostate specific antigen) measurement, total | 24.6K | $517.0K | $20.98 | 3.08x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 23.6K | $504.9K | $21.43 | 3.01x |
| 82746 | Folic acid level, serum | 26.3K | $441.5K | $16.80 | 3.07x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 10.1K | $416.0K | $41.23 | 2.86x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 46.4K | $356.9K | $7.69 | 2.99x |
This provider submits charges 3.91 times higher than what Medicare actually pays.
A markup ratio of 3.91x means for every $100 Medicare pays, this provider initially charges $391. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Clinical Laboratories Inc | Tampa, FL | $1.0B | ⚠️ Flagged |
| Laboratory Corporation Of America | Tampa, FL | $463.1M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Miramar, FL | $417.1M | ⚠️ Flagged |
| American Health S, Llc | Davie, FL | $175.7M | ✓ Clear |
| Ameripath Florida Llc | Pompano Beach, FL | $80.1M | ✓ 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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