This provider's $44.0M in total Medicare payments ranks in the 98th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 120% 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 | $159.76 | $56.28 | 2.84x | $103.48 | $2.8M | 49.7K | 24.6K |
| 2015 | $97.82 | $56.28 | 1.74x | $41.54 | $3.6M | 64.0K | 31.7K |
| 2016 | $86.43 | $56.28 | 1.54x | $30.15 | $5.0M | 89.1K | 44.1K |
| 2017 | $193.25 | $56.28 | 3.43x | $136.97 | $5.4M | 96.7K | 47.8K |
| 2018 | $165.08 | $56.28 | 2.93x | $108.80 | $3.7M | 65.7K | 32.5K |
| 2019 | $133.39 | $56.28 | 2.37x | $77.11 | $4.9M | 87.2K | 43.2K |
| 2020 | $156.38 | $56.28 | 2.78x | $100.10 | $4.6M | 82.5K | 40.8K |
| 2021 | $188.15 | $56.28 | 3.34x | $131.87 | $3.5M | 63.0K | 31.2K |
| 2022 | $125.54 | $56.28 | 2.23x | $69.26 | $4.2M | 74.6K | 36.9K |
| 2023 | $196.25 | $56.28 | 3.49x | $139.97 | $6.1M | 109.2K | 54.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Comprehensive metabolic panel | 239.6K | $15.6M | $64.90 | 4.07x |
| 85025 | Complete blood cell count with differential | 125.7K | $5.1M | $40.30 | 3.47x |
| 80061 | Lipid panel | 38.3K | $3.2M | $82.63 | 3.71x |
| 84443 | Thyroid stimulating hormone (TSH) level | 55.1K | $2.6M | $48.06 | 4.59x |
| 82306 | Vitamin D-3 level | 20.4K | $1.9M | $95.18 | 5.67x |
| 84153 | PSA (prostate specific antigen) measurement | 15.5K | $1.6M | $105.67 | 4.61x |
| 83036 | Hemoglobin A1c level | 27.5K | $1.6M | $56.90 | 2.73x |
| 82728 | Ferritin (blood protein) level | 19.8K | $1.4M | $71.82 | 5.06x |
| 80048 | Blood test, basic group of blood chemicals | 33.8K | $1.4M | $40.33 | 4.09x |
| 87086 | Bacterial colony count, urine | 16.5K | $834.3K | $50.44 | 4.92x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. 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 PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Clinical Laboratories Inc | Norristown, PA | $340.6M | ✓ Clear |
| Quest Diagnostics Of Pennsylvania, Inc. | Pittsburgh, PA | $130.4M | ⚠️ Flagged |
| Health Network Laboratories, Llc | Allentown, PA | $125.3M | ⚠️ Flagged |
| Sma Medical, Inc. | Feasterville, PA | $100.9M | ✓ Clear |
| Interpace Diagnostics Corporation | Pittsburgh, PA | $95.6M | ✓ 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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