This provider's $7.4M in total Medicare payments ranks in the 87th 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 |
|---|---|---|---|---|---|---|---|
| 2023 | $39.62 | $30.25 | 1.31x | $9.37 | $7.4M | 245.8K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 33.2K | $1.1M | $34.39 | 1.05x |
| 80434 | Insulin tolerance panel for acth (adrenal gland hormone) insufficiency | 3.8K | $1.1M | $279.33 | 1.03x |
| 87150 | Identification of organisms by genetic analysis, amplified probe technique | 29.3K | $1.0M | $34.39 | 1.31x |
| 87636 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b | 5.3K | $742.4K | $139.78 | 1.43x |
| 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 | 6.4K | $472.2K | $73.50 | 1.90x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 12.8K | $439.1K | $34.39 | 1.07x |
| 80155 | Caffeine level | 10.2K | $384.4K | $37.80 | 1.02x |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 3.4K | $319.8K | $93.88 | 1.04x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 11.7K | $269.8K | $22.99 | 2.17x |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 6.4K | $222.4K | $34.62 | 2.37x |
| 82652 | Dihydroxyvitamin d, 1, 25 level | 4.6K | $173.0K | $37.73 | 1.06x |
| U0005 | 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, cdc or non-cdc, making use of high throughput technologies, completed within | 6.4K | $157.4K | $24.50 | 1.84x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 18.2K | $154.4K | $8.48 | 1.49x |
| 87088 | Bacterial urine culture | 18.2K | $143.9K | $7.93 | 1.53x |
| 87086 | Bacterial colony count, urine | 18.1K | $143.5K | $7.91 | 1.40x |
| 86905 | Blood typing for red blood cell antigens | 36.7K | $137.7K | $3.75 | 1.29x |
| 87493 | Detection test by nucleic acid for clostridium difficile, amplified probe technique | 2.6K | $93.3K | $36.52 | 1.05x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 2.6K | $87.8K | $34.39 | 1.07x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 2.6K | $87.8K | $34.39 | 1.05x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 2.6K | $87.8K | $34.39 | 1.05x |
This provider submits charges 1.31 times higher than what Medicare actually pays.
A markup ratio of 1.31x means for every $100 Medicare pays, this provider initially charges $131. This is lower 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Llc Il | Wood Dale, IL | $446.2M | ⚠️ Flagged |
| Tempus Ai, Inc. | Chicago, IL | $213.4M | ⚠️ Flagged |
| Chicago Clinical Laboratories, Ltd | Northbrook, IL | $66.5M | ⚠️ Flagged |
| Lifescan Labs Of Illinois, Llc | Skokie, IL | $61.6M | ✓ Clear |
| Chicago Care Lab Services Llc | Chicago, IL | $56.7M | ⚠️ Flagged |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data