This provider's $13.6M in total Medicare payments ranks in the 93th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 46231% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 6651% 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 | $19.62 | $6.27 | 3.13x | $13.35 | $8.6K | 1.4K | 9 |
| 2016 | $24.97 | $7.76 | 3.22x | $17.21 | $578.3K | 74.5K | 31 |
| 2017 | $20.62 | $8.05 | 2.56x | $12.57 | $736.2K | 91.4K | 32 |
| 2018 | $16.92 | $7.54 | 2.24x | $9.38 | $896.3K | 118.8K | 39 |
| 2019 | $11.68 | $6.78 | 1.72x | $4.90 | $938.2K | 138.5K | 29 |
| 2020 | $12.08 | $5.36 | 2.25x | $6.72 | $1.3M | 249.8K | 59 |
| 2021 | $11.89 | $6.78 | 1.75x | $5.11 | $2.1M | 312.3K | 96 |
| 2022 | $9.08 | $5.97 | 1.52x | $3.11 | $3.1M | 513.5K | 63 |
| 2023 | $13.65 | $9.19 | 1.49x | $4.46 | $4.0M | 431.9K | 53 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87150 | Identification of organisms by genetic analysis, amplified probe technique | 46.2K | $1.6M | $34.61 | 1.68x |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 1.1M | $1.1M | $1.03 | 1.64x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 30.8K | $1.1M | $34.46 | 1.57x |
| 82306 | Vitamin d-3 level | 33.1K | $1.0M | $30.97 | 1.82x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 47.6K | $863.1K | $18.13 | 1.95x |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 85.0K | $849.8K | $10.00 | 2.10x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 11.5K | $796.5K | $69.20 | 1.67x |
| 80053 | Blood test, comprehensive group of blood chemicals | 66.5K | $740.9K | $11.14 | 2.09x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 43.8K | $601.1K | $13.73 | 2.02x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 71.2K | $597.0K | $8.39 | 1.95x |
| 36415 | Insertion of needle into vein for collection of blood sample | 119.7K | $464.5K | $3.88 | 1.80x |
| 83036 | Hemoglobin a1c level | 39.9K | $416.9K | $10.45 | 1.94x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 24.4K | $387.7K | $15.88 | 1.83x |
| 82746 | Folic acid level, serum | 13.1K | $200.0K | $15.24 | 1.72x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 4.4K | $169.6K | $38.93 | 1.69x |
| 83721 | Ldl cholesterol level | 15.3K | $160.4K | $10.47 | 1.79x |
| 84480 | Thyroid hormone, t3 measurement, total | 9.4K | $140.5K | $15.01 | 1.86x |
| 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 | 1.9K | $138.5K | $74.01 | 1.52x |
| 87631 | Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets | 963 | $134.8K | $139.95 | 1.53x |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 963 | $134.7K | $139.89 | 1.53x |
This provider submits charges 1.81 times higher than what Medicare actually pays.
A markup ratio of 1.81x means for every $100 Medicare pays, this provider initially charges $181. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Clinical Pathology Laboratories, Inc. | Austin, TX | $541.0M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Irving, TX | $453.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Dallas, TX | $389.6M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Houston, TX | $311.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Houston, TX | $299.4M | ⚠️ Flagged |
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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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