This provider's $28.9M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 174% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 151% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $75.93 | $22.75 | 3.34x | $53.18 | $862.3K | 38.2K | 27.6K |
| 2016 | $186.91 | $51.55 | 3.63x | $135.36 | $2.2M | 17.0K | 10.8K |
| 2017 | $48.90 | $31.78 | 1.54x | $17.12 | $3.8M | 36.4K | 26.7K |
| 2018 | $44.99 | $32.19 | 1.40x | $12.80 | $4.0M | 47.9K | 27.3K |
| 2019 | $34.38 | $23.64 | 1.45x | $10.74 | $3.6M | 51.0K | 36.0K |
| 2020 | $30.87 | $21.14 | 1.46x | $9.73 | $5.1M | 84.8K | 50.4K |
| 2021 | $27.01 | $21.45 | 1.26x | $5.56 | $4.1M | 97.6K | 60.8K |
| 2022 | $25.08 | $20.40 | 1.23x | $4.68 | $2.9M | 115.4K | 80.5K |
| 2023 | $26.12 | $18.36 | 1.42x | $7.76 | $2.4M | 125.9K | 83.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0481 | Drug test def 8-14 classes | 37.4K | $5.6M | $151.09 | 1.72x |
| G0480 | Drug test def 1-7 classes | 43.8K | $4.9M | $111.31 | 1.94x |
| 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 | 48.3K | $4.2M | $86.32 | 1.34x |
| 80307 | Testing for presence of drug | 58.0K | $3.8M | $66.04 | 1.93x |
| G0482 | Drug test def 15-21 classes | 13.8K | $2.6M | $186.06 | 3.23x |
| G0483 | Drug test def 22+ classes | 8.9K | $2.0M | $226.92 | 4.14x |
| 80053 | Blood test, comprehensive group of blood chemicals | 49.1K | $519.5K | $10.58 | 1.90x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 37.7K | $479.2K | $12.72 | 1.32x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 24.4K | $389.6K | $15.98 | 1.13x |
| G0479 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when | 4.5K | $352.2K | $77.58 | 4.12x |
| 82306 | Vitamin D-3 level | 8.8K | $261.6K | $29.87 | 1.46x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 30.1K | $232.6K | $7.72 | 1.18x |
| 83036 | Hemoglobin A1C level | 16.5K | $162.0K | $9.80 | 1.36x |
| 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 | 6.2K | $155.4K | $24.87 | 1.01x |
| 84153 | PSA (prostate specific antigen) measurement | 8.6K | $150.7K | $17.57 | 1.16x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 8.1K | $124.7K | $15.43 | 1.40x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 1.0K | $98.0K | $96.98 | 2.93x |
| 87635 | Sars-cov-2 covid-19 amp prb | 1.8K | $94.4K | $51.29 | 2.33x |
| 84439 | Thyroxine (thyroid chemical) measurement | 10.5K | $91.6K | $8.68 | 1.13x |
| 87088 | Bacterial urine culture | 10.5K | $83.7K | $7.96 | 1.17x |
This provider submits charges 2.06 times higher than what Medicare actually pays.
A markup ratio of 2.06x means for every $100 Medicare pays, this provider initially charges $206. 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 AL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Birmingham, AL | $692.7M | ⚠️ Flagged |
| Eurofins Diatherix Laboratories Llc | Huntsville, AL | $37.8M | ✓ 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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