This provider's $62.8M in total Medicare payments ranks in the 98th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 88% from 2014 to 2023.
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 | $25.05 | $11.52 | 2.17x | $13.53 | $4.5M | 388.6K | 193 |
| 2015 | $25.49 | $11.84 | 2.15x | $13.65 | $4.6M | 391.7K | 181 |
| 2016 | $26.27 | $12.26 | 2.14x | $14.01 | $5.2M | 420.3K | 184 |
| 2017 | $27.11 | $12.79 | 2.12x | $14.32 | $5.5M | 432.4K | 199 |
| 2018 | $28.33 | $13.22 | 2.14x | $15.11 | $5.2M | 395.5K | 203 |
| 2019 | $27.93 | $12.08 | 2.31x | $15.85 | $5.2M | 428.5K | 211 |
| 2020 | $33.23 | $14.51 | 2.29x | $18.72 | $7.0M | 483.2K | 208 |
| 2021 | $32.12 | $14.13 | 2.27x | $17.99 | $8.6M | 610.7K | 212 |
| 2022 | $30.69 | $12.93 | 2.37x | $17.76 | $8.6M | 662.2K | 227 |
| 2023 | $28.00 | $11.80 | 2.37x | $16.20 | $8.4M | 712.7K | 273 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 267.6K | $5.1M | $19.02 | 2.43x |
| 80053 | Blood test, comprehensive group of blood chemicals | 454.0K | $4.9M | $10.73 | 1.75x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 322.6K | $4.7M | $14.48 | 2.85x |
| 82306 | Vitamin d-3 level | 130.8K | $4.4M | $33.28 | 2.95x |
| 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 | 51.8K | $4.3M | $83.11 | 1.50x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 352.5K | $3.1M | $8.88 | 2.54x |
| 36415 | Insertion of needle into vein for collection of blood sample | 738.1K | $2.8M | $3.74 | 2.21x |
| 83036 | Hemoglobin a1c level | 158.5K | $1.7M | $10.81 | 2.14x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 206.7K | $1.5M | $7.27 | 1.90x |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 14.6K | $1.3M | $90.89 | 1.58x |
| 86235 | Measurement of antibody for assessment of autoimmune disorder, any method | 64.0K | $1.3M | $20.06 | 2.06x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 71.4K | $1.2M | $16.82 | 1.97x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 142.4K | $1.2M | $8.43 | 2.06x |
| 83970 | Parathormone (parathyroid hormone) level | 25.0K | $1.1M | $45.19 | 1.59x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 18.6K | $1.1M | $60.51 | 1.44x |
| 84153 | Psa (prostate specific antigen) measurement, total | 45.7K | $932.7K | $20.42 | 1.89x |
| 87086 | Bacterial colony count, urine | 98.5K | $903.2K | $9.17 | 2.21x |
| 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 | 34.0K | $845.9K | $24.90 | 1.51x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 35.9K | $739.3K | $20.58 | 1.87x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 27.4K | $660.5K | $24.09 | 5.90x |
This provider submits charges 2.25 times higher than what Medicare actually pays.
A markup ratio of 2.25x means for every $100 Medicare pays, this provider initially charges $225. 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 OH for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Dublin, OH | $659.2M | ⚠️ Flagged |
| Assurex Health, Inc. | Mason, OH | $253.0M | ✓ Clear |
| American Health Mw, Llc | Cincinnati, OH | $178.9M | ✓ Clear |
| Cleveland Heartlab Inc | Cleveland, OH | $91.8M | ⚠️ Flagged |
| Compunet Clinical Laboratories Llc | Moraine, OH | $77.5M | ✓ 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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