This provider's $25.0M in total Medicare payments ranks in the 96th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 165015% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 10346% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $66.81 | $14.41 | 4.64x | $52.40 | $5.8K | 404 | 11 |
| 2017 | $558.66 | $54.51 | 10.25x | $504.15 | $608.2K | 11.2K | 48 |
| 2018 | $839.77 | $80.96 | 10.37x | $758.81 | $2.3M | 27.9K | 59 |
| 2019 | $461.31 | $90.40 | 5.10x | $370.91 | $2.1M | 23.2K | 55 |
| 2020 | $392.81 | $109.34 | 3.59x | $283.47 | $844.2K | 7.7K | 30 |
| 2021 | $122.33 | $40.71 | 3.00x | $81.62 | $3.0M | 73.6K | 71 |
| 2022 | $51.02 | $31.64 | 1.61x | $19.38 | $6.6M | 208.7K | 97 |
| 2023 | $21.27 | $16.04 | 1.33x | $5.23 | $9.6M | 599.2K | 106 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 187.1K | $6.4M | $34.47 | 1.25x |
| 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 | 15.4K | $3.7M | $243.40 | 4.94x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 52.6K | $3.3M | $62.14 | 1.26x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 21.1K | $1.3M | $63.75 | 5.71x |
| 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 | 5.0K | $984.4K | $195.54 | 6.42x |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 11.3K | $861.0K | $76.22 | 3.25x |
| 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 | 5.9K | $665.9K | $113.20 | 8.11x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 19.1K | $658.5K | $34.53 | 1.31x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 17.6K | $606.2K | $34.51 | 1.25x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 17.5K | $605.4K | $34.50 | 1.25x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 16.8K | $579.5K | $34.51 | 1.25x |
| G0481 | 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 | 3.3K | $496.8K | $152.20 | 5.07x |
| 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) | 42.8K | $383.0K | $8.96 | 2.19x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 10.3K | $353.6K | $34.50 | 1.40x |
| 87641 | Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique | 10.1K | $346.2K | $34.40 | 1.19x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 40.7K | $315.0K | $7.74 | 3.61x |
| 87633 | Detection test for multiple types of respiratory virus | 571 | $281.0K | $492.10 | 7.97x |
| 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 | 256.7K | $279.6K | $1.09 | 2.08x |
| 80053 | Blood test, comprehensive group of blood chemicals | 26.4K | $279.5K | $10.58 | 4.18x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 15.5K | $263.5K | $16.97 | 4.29x |
This provider submits charges 3.03 times higher than what Medicare actually pays.
A markup ratio of 3.03x means for every $100 Medicare pays, this provider initially charges $303. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Clinical Pathology Laboratories, Inc. | Austin, TX | $541.0M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Irving, TX | $453.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Dallas, TX | $389.6M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Houston, TX | $311.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Houston, TX | $299.4M | ⚠️ 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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