Statistical flag only — not an accusation of fraud
This provider's $37.9M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 6.74x is significantly above the specialty median of 3.7x.
This provider has been statistically flagged with a risk score of 72/100. Statistical flags are not accusations of fraud.
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 | $78.08 | $12.36 | 6.32x | $65.72 | $3.3M | 267.6K | 177 |
| 2015 | $81.10 | $12.93 | 6.27x | $68.17 | $3.6M | 279.5K | 168 |
| 2016 | $80.74 | $12.60 | 6.41x | $68.14 | $3.5M | 281.1K | 163 |
| 2017 | $85.45 | $13.38 | 6.39x | $72.07 | $3.9M | 291.6K | 172 |
| 2018 | $85.32 | $13.34 | 6.40x | $71.98 | $4.2M | 315.1K | 181 |
| 2019 | $85.07 | $11.60 | 7.33x | $73.47 | $3.8M | 324.5K | 180 |
| 2020 | $86.52 | $13.06 | 6.62x | $73.46 | $4.0M | 303.3K | 163 |
| 2021 | $86.04 | $12.85 | 6.70x | $73.19 | $4.2M | 327.1K | 179 |
| 2022 | $87.08 | $11.95 | 7.29x | $75.13 | $3.8M | 321.3K | 177 |
| 2023 | $89.35 | $11.63 | 7.68x | $77.72 | $3.6M | 310.5K | 172 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 236.0K | $4.5M | $19.21 | 5.70x |
| 80053 | Blood test, comprehensive group of blood chemicals | 385.8K | $4.5M | $11.67 | 9.22x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 209.1K | $2.8M | $13.41 | 7.54x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 359.9K | $2.7M | $7.46 | 6.53x |
| 83036 | Hemoglobin a1c level | 178.0K | $2.0M | $11.13 | 5.82x |
| 82306 | Vitamin d-3 level | 50.9K | $1.7M | $33.38 | 5.26x |
| 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 | 16.7K | $1.4M | $86.55 | 1.27x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 114.9K | $1.1M | $9.53 | 7.85x |
| 84153 | Psa (prostate specific antigen) measurement, total | 40.6K | $847.6K | $20.86 | 5.38x |
| 87086 | Bacterial colony count, urine | 71.2K | $674.4K | $9.48 | 5.14x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 30.8K | $665.5K | $21.60 | 5.19x |
| 83970 | Parathormone (parathyroid hormone) level | 13.5K | $644.4K | $47.87 | 5.05x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 14.3K | $609.8K | $42.58 | 3.14x |
| 87507 | Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets | 1.0K | $549.4K | $531.31 | 1.20x |
| 84439 | Thyroxine (thyroid chemical), free | 49.9K | $508.6K | $10.20 | 6.79x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 28.5K | $481.8K | $16.92 | 6.94x |
| 81001 | Manual urinalysis test with examination using microscope, automated | 129.3K | $478.2K | $3.70 | 25.99x |
| 87077 | Bacterial culture for aerobic isolates | 46.4K | $428.1K | $9.22 | 5.36x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 40.8K | $409.1K | $10.02 | 4.88x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 49.2K | $375.8K | $7.64 | 6.04x |
This provider submits charges 6.74 times higher than what Medicare actually pays.
A markup ratio of 6.74x means for every $100 Medicare pays, this provider initially charges $674. 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 KS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Labone Llc | Lenexa, KS | $435.5M | ⚠️ Flagged |
| Laboratory Corporation Of America Holdings | Overland Park, KS | $47.4M | ⚠️ Flagged |
| Eurofins Transplant Genomics, Llc | Lenexa, KS | $44.8M | ✓ Clear |
| Biodesix, Inc. | De Soto, KS | $36.2M | ✓ Clear |
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