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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Central Clinical Labs Incorporated
🔬
Organization

Central Clinical Labs Incorporated

NPI: 1598106163
Phoenix, AZ
10 years of data
Clinical Laboratory
$27.1M
Total Payments
983
Beneficiaries
5.5M
Services
3.36x
Markup Ratio

Peer Comparison

96th
percentile in specialty
This provider$27.1M
Specialty median$1.9M

📋 Key Findings

1Billed $27.1M over 10 years
23.36x markup ratio (above median)
396th percentile in Clinical Laboratory by payments
4Payments surged 126% in 2015
517 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $27.1M in total Medicare payments ranks in the 96th percentile of Clinical Laboratory providers nationally.

Medicare payments to this provider grew 448% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 126% in 2015

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$5.80$1.803.22x$4.00$645.2K358.9K38
2015$6.52$2.073.15x$4.45$1.5M704.4K48
2016$7.14$2.263.16x$4.88$2.1M942.4K55
2017$9.57$2.963.23x$6.61$2.0M684.6K71
2018$23.91$7.133.35x$16.78$2.7M380.5K105
2019$27.99$7.803.59x$20.19$2.8M355.0K103
2020$30.82$8.503.63x$22.32$4.3M500.7K139
2021$29.47$7.833.76x$21.64$4.2M538.7K145
2022$22.75$6.783.36x$15.97$3.4M495.5K145
2023$17.96$6.612.72x$11.35$3.5M534.6K134

Top Procedures (20)

P9603Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled
$3.5M
3.4M services$1.01/svc2.98x markup
P9604Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge⚠ 3.6x markup
$3.4M
203.0K services$16.71/svc3.62x markup
84443Blood test, thyroid stimulating hormone (tsh)⚠ 3.5x markup
$2.0M
110.7K services$18.45/svc3.50x markup
80053Blood test, comprehensive group of blood chemicals⚠ 3.6x markup
$1.9M
174.2K services$11.14/svc3.63x markup
82306Vitamin d-3 level⚠ 3.0x markup
$1.6M
51.4K services$30.81/svc3.04x markup
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count⚠ 3.1x markup
$1.5M
190.5K services$8.09/svc3.15x markup
80061Blood test, lipids (cholesterol and triglycerides)⚠ 3.7x markup
$1.3M
91.2K services$13.80/svc3.74x markup
36415Insertion of needle into vein for collection of blood sample
$1.1M
311.6K services$3.67/svc2.79x markup
82607Cyanocobalamin (vitamin b-12) level⚠ 3.5x markup
$929.9K
56.4K services$16.50/svc3.50x markup
83036Hemoglobin a1c level⚠ 3.5x markup
$855.5K
81.5K services$10.50/svc3.50x markup
82746Folic acid level, serum⚠ 3.4x markup
$637.7K
38.9K services$16.40/svc3.44x markup
84439Thyroxine (thyroid chemical), free⚠ 3.5x markup
$485.7K
49.8K services$9.75/svc3.54x markup
84481Thyroid hormone, t3 measurement, free⚠ 3.5x markup
$430.4K
23.5K services$18.35/svc3.49x markup
U0003Infectious 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⚠ 3.1x markup
$390.4K
4.4K services$88.60/svc3.10x markup
80048Blood test, basic group of blood chemicals (calcium, total)⚠ 3.5x markup
$353.8K
38.7K services$9.15/svc3.55x markup
87798Detection test by nucleic acid for organism, amplified probe technique
$326.4K
9.4K services$34.81/svc1.99x markup
83880Natriuretic peptide (heart and blood vessel protein) level⚠ 3.4x markup
$323.8K
8.3K services$39.02/svc3.39x markup
87086Bacterial colony count, urine⚠ 3.7x markup
$317.3K
39.4K services$8.05/svc3.69x markup
83970Parathormone (parathyroid hormone) level⚠ 3.6x markup
$317.2K
7.7K services$41.20/svc3.65x markup
85610Blood test, clotting time⚠ 3.4x markup
$312.0K
66.2K services$4.71/svc3.35x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
P9603Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled3.4M$3.5M$1.012.98x
P9604Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge203.0K$3.4M$16.713.62x
84443Blood test, thyroid stimulating hormone (tsh)110.7K$2.0M$18.453.50x
80053Blood test, comprehensive group of blood chemicals174.2K$1.9M$11.143.63x
82306Vitamin d-3 level51.4K$1.6M$30.813.04x
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count190.5K$1.5M$8.093.15x
80061Blood test, lipids (cholesterol and triglycerides)91.2K$1.3M$13.803.74x
36415Insertion of needle into vein for collection of blood sample311.6K$1.1M$3.672.79x
82607Cyanocobalamin (vitamin b-12) level56.4K$929.9K$16.503.50x
83036Hemoglobin a1c level81.5K$855.5K$10.503.50x
82746Folic acid level, serum38.9K$637.7K$16.403.44x
84439Thyroxine (thyroid chemical), free49.8K$485.7K$9.753.54x
84481Thyroid hormone, t3 measurement, free23.5K$430.4K$18.353.49x
U0003Infectious 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-r4.4K$390.4K$88.603.10x
80048Blood test, basic group of blood chemicals (calcium, total)38.7K$353.8K$9.153.55x
87798Detection test by nucleic acid for organism, amplified probe technique9.4K$326.4K$34.811.99x
83880Natriuretic peptide (heart and blood vessel protein) level8.3K$323.8K$39.023.39x
87086Bacterial colony count, urine39.4K$317.3K$8.053.69x
83970Parathormone (parathyroid hormone) level7.7K$317.2K$41.203.65x
85610Blood test, clotting time66.2K$312.0K$4.713.35x

Markup Analysis

Charge-to-Payment Ratio

3.36x

This provider submits charges 3.36 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.36x means for every $100 Medicare pays, this provider initially charges $336. This is higher than the national average.

Location

Phoenix, AZ

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Clinical Laboratory providers in AZ for peer comparison.

Central Clinical Labs Incorporated (you)
$27.1M
Sonora Quest Laboratories Llc⚠️
$565.3M
Laboratory Corporation Of America⚠️
$389.8M
Caris Mpi, Inc.⚠️
$382.6M
Castle Biosciences, Inc
$258.8M
Genetic Technological Innovations, Llc⚠️
$93.5M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Sonora Quest Laboratories LlcPhoenix, AZ$565.3M⚠️ Flagged
Laboratory Corporation Of AmericaPhoenix, AZ$389.8M⚠️ Flagged
Caris Mpi, Inc.Phoenix, AZ$382.6M⚠️ Flagged
Castle Biosciences, IncPhoenix, AZ$258.8M✓ Clear
Genetic Technological Innovations, LlcScottsdale, AZ$93.5M⚠️ Flagged

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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