This provider's $21.8M in total Medicare payments ranks in the 96th 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 | $66.64 | $32.84 | 2.03x | $33.80 | $4.5M | 271.0K | 167.5K |
| 2015 | $67.72 | $30.99 | 2.19x | $36.73 | $4.9M | 305.1K | 187.5K |
| 2016 | $112.34 | $44.00 | 2.55x | $68.34 | $5.8M | 332.2K | 206.4K |
| 2017 | $98.36 | $39.51 | 2.49x | $58.85 | $5.8M | 323.4K | 198.2K |
| 2018 | $59.88 | $26.03 | 2.30x | $33.85 | $700.1K | 58.3K | 38.2K |
| 2019 | $39.50 | $18.27 | 2.16x | $21.23 | $24.1K | 962 | 942 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 139.9K | $1.8M | $12.98 | 2.06x |
| 86334 | Immunologic analysis technique on serum | 40.1K | $1.2M | $29.60 | 2.18x |
| 84165 | Protein measurement, serum | 65.6K | $935.7K | $14.27 | 1.80x |
| 83883 | Nephelometry, test method using light | 46.5K | $839.1K | $18.05 | 1.79x |
| 81206 | Translocation analysis (BCR/ABL1) minor breakpoint | 3.3K | $715.5K | $216.31 | 1.77x |
| 86300 | Immunologic analysis for detection of tumor antigen | 25.6K | $708.8K | $27.71 | 1.72x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 33.0K | $664.1K | $20.11 | 1.74x |
| 82728 | Ferritin (blood protein) level | 35.0K | $636.8K | $18.18 | 1.72x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 24.3K | $543.2K | $22.36 | 1.73x |
| 82378 | Carcinoembryonic antigen (CEA) protein level | 21.4K | $541.5K | $25.32 | 1.71x |
| 81207 | Translocation analysis (BCR/ABL1) major breakpoint | 2.8K | $540.7K | $192.63 | 1.76x |
| 84153 | PSA (prostate specific antigen) measurement | 19.4K | $472.4K | $24.33 | 1.83x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 43.3K | $449.0K | $10.38 | 1.68x |
| 82746 | Folic acid level | 21.9K | $428.6K | $19.61 | 1.74x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 34.3K | $416.5K | $12.15 | 2.20x |
| 86335 | Immunologic analysis technique on body fluid | 10.5K | $406.7K | $38.85 | 1.71x |
| 82232 | Beta-2 microglobulin (protein) level | 18.7K | $402.3K | $21.54 | 1.72x |
| 36415 | Insertion of needle into vein for collection of blood sample | 133.5K | $392.5K | $2.94 | 1.58x |
| 82784 | Gammaglobulin (immune system protein) measurement | 29.4K | $363.7K | $12.35 | 1.75x |
| 88184 | Flow cytometry technique for DNA or cell analysis | 6.3K | $358.8K | $56.84 | 2.25x |
This provider submits charges 1.97 times higher than what Medicare actually pays.
A markup ratio of 1.97x means for every $100 Medicare pays, this provider initially charges $197. 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 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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