This provider's $25.5M in total Medicare payments ranks in the 96th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 5.46x is significantly above the specialty median of 3.7x.
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 | $119.23 | $26.71 | 4.46x | $92.52 | $4.4M | 368.5K | 207.4K |
| 2015 | $112.36 | $23.19 | 4.85x | $89.17 | $4.3M | 354.8K | 201.5K |
| 2016 | $106.78 | $23.31 | 4.58x | $83.47 | $4.3M | 354.9K | 200.5K |
| 2017 | $119.54 | $23.02 | 5.19x | $96.52 | $4.2M | 331.0K | 191.3K |
| 2018 | $137.91 | $27.06 | 5.10x | $110.85 | $3.9M | 304.3K | 182.3K |
| 2019 | $151.57 | $24.31 | 6.23x | $127.26 | $3.0M | 222.0K | 148.5K |
| 2020 | $373.45 | $51.89 | 7.20x | $321.56 | $539.2K | 12.9K | 11.9K |
| 2021 | $352.57 | $79.13 | 4.46x | $273.44 | $276.7K | 4.5K | 4.1K |
| 2022 | $362.79 | $81.83 | 4.43x | $280.96 | $256.1K | 4.2K | 3.8K |
| 2023 | $360.18 | $80.91 | 4.45x | $279.27 | $301.8K | 5.6K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 211.0K | $2.6M | $12.39 | 6.58x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 195.8K | $2.0M | $9.98 | 3.97x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 82.4K | $1.8M | $21.62 | 5.13x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 95.7K | $1.4M | $14.33 | 7.04x |
| 82306 | Vitamin D-3 level | 33.0K | $1.3M | $38.03 | 5.47x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 27.6K | $1.2M | $41.85 | 6.64x |
| 83970 | Parathormone (parathyroid hormone) level | 16.4K | $867.7K | $52.83 | 3.43x |
| 36415 | Insertion of needle into vein for collection of blood sample | 287.6K | $842.5K | $2.93 | 6.83x |
| 83036 | Hemoglobin A1C level | 47.5K | $594.0K | $12.50 | 5.83x |
| 83735 | Magnesium level | 60.8K | $534.2K | $8.78 | 3.61x |
| 87086 | Bacterial colony count, urine | 39.1K | $408.8K | $10.47 | 5.34x |
| 80048 | Blood test, basic group of blood chemicals | 44.7K | $389.6K | $8.71 | 6.75x |
| 85610 | Blood test, clotting time | 72.0K | $368.8K | $5.12 | 5.55x |
| 84153 | PSA (prostate specific antigen) measurement | 13.5K | $317.0K | $23.56 | 4.81x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 7.7K | $300.8K | $38.95 | 3.49x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 35.3K | $292.9K | $8.29 | 4.53x |
| 82728 | Ferritin (blood protein) level | 16.2K | $282.0K | $17.42 | 5.35x |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | 8.1K | $272.6K | $33.50 | 2.89x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 13.2K | $255.6K | $19.32 | 5.74x |
| 84439 | Thyroxine (thyroid chemical) measurement | 21.9K | $254.3K | $11.60 | 6.84x |
This provider submits charges 5.46 times higher than what Medicare actually pays.
A markup ratio of 5.46x means for every $100 Medicare pays, this provider initially charges $546. 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 IN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Patients Choice Laboratories Of Indiana, Llc | Indianapolis, IN | $70.5M | ✓ Clear |
| Professional Clinical Laboratories, Llc | Hammond, IN | $70.1M | ⚠️ 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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