This provider's $5.4M in total Medicare payments ranks in the 82th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 20251% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 8939% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $72.16 | $36.08 | 2.00x | $36.08 | $18.5K | 512 | 5 |
| 2022 | $64.51 | $31.68 | 2.04x | $32.83 | $1.7M | 52.7K | 17 |
| 2023 | $54.40 | $32.89 | 1.65x | $21.51 | $3.8M | 114.3K | 32 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 68.9K | $2.4M | $34.40 | 1.77x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 18.2K | $625.1K | $34.40 | 1.70x |
| 87529 | Detection test by nucleic acid for herpes simplex virus, amplified probe technique | 8.4K | $289.0K | $34.40 | 1.73x |
| 87591 | Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique | 5.7K | $194.5K | $34.41 | 1.81x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 5.0K | $170.7K | $34.41 | 1.77x |
| 87641 | Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique | 4.8K | $166.3K | $34.41 | 1.75x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 4.5K | $156.0K | $34.40 | 1.73x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 4.3K | $149.0K | $34.40 | 1.73x |
| 87491 | Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique | 4.3K | $148.2K | $34.40 | 1.74x |
| 87563 | Detection of mycoplasma genitalium by dna or rna probe | 4.2K | $145.0K | $34.40 | 1.73x |
| 87661 | Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique | 4.2K | $144.7K | $34.40 | 1.73x |
| 87631 | Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets | 869 | $121.6K | $139.92 | 1.94x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 3.2K | $111.1K | $34.38 | 1.60x |
| 87511 | Detection test for gardnerella vaginalis (bacteria), amplified probe technique | 3.1K | $107.2K | $34.41 | 1.73x |
| 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 | 709 | $52.2K | $73.62 | 2.04x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 5.8K | $49.6K | $8.49 | 1.88x |
| 87086 | Bacterial colony count, urine | 5.6K | $44.1K | $7.92 | 1.87x |
| 87088 | Bacterial urine culture | 5.5K | $43.9K | $7.94 | 1.87x |
| 81249 | Gene analysis (glucose-6-phosphate dehydrogenase) full sequence analysis | 66 | $38.8K | $588.00 | 2.04x |
| 87486 | Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique | 882 | $30.4K | $34.42 | 1.93x |
This provider submits charges 1.77 times higher than what Medicare actually pays.
A markup ratio of 1.77x means for every $100 Medicare pays, this provider initially charges $177. 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 OK for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Diagnostic Laboratory Of Oklahoma Llc | Oklahoma City, OK | $129.7M | ⚠️ Flagged |
| Saint Francis Outreach Services Llc | Tulsa, OK | $50.6M | ⚠️ Flagged |
| Dianon Systems Inc | Oklahoma City, OK | $37.7M | ✓ 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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