This provider's $155.8M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 220% in 2015
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $314.89 | $70.78 | 4.45x | $244.11 | $3.9M | 55.0K | 41 |
| 2015 | $207.19 | $46.49 | 4.46x | $160.70 | $12.5M | 267.9K | 64 |
| 2016 | $214.48 | $63.06 | 3.40x | $151.42 | $11.7M | 185.0K | 46 |
| 2017 | $136.57 | $54.39 | 2.51x | $82.18 | $13.2M | 242.2K | 31 |
| 2018 | $100.09 | $48.16 | 2.08x | $51.93 | $22.1M | 458.6K | 35 |
| 2019 | $108.99 | $46.46 | 2.35x | $62.53 | $17.1M | 368.7K | 35 |
| 2020 | $115.29 | $48.52 | 2.38x | $66.77 | $24.9M | 512.7K | 36 |
| 2021 | $107.74 | $45.85 | 2.35x | $61.89 | $29.0M | 633.2K | 41 |
| 2022 | $121.44 | $48.13 | 2.52x | $73.31 | $18.1M | 376.0K | 36 |
| 2023 | $233.39 | $64.90 | 3.60x | $168.49 | $3.4M | 52.0K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 1.2M | $48.5M | $39.04 | 2.13x |
| 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 | 157.3K | $13.1M | $83.25 | 2.71x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 163.9K | $12.0M | $73.04 | 1.39x |
| 88120 | Cell examination of urine, manual | 20.1K | $11.0M | $545.06 | 3.76x |
| 88377 | Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure | 19.5K | $6.2M | $320.23 | 2.61x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 168.1K | $6.0M | $35.67 | 1.45x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 98.3K | $5.7M | $58.23 | 3.50x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 184.5K | $5.7M | $30.90 | 4.86x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 97.5K | $3.8M | $39.17 | 1.52x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 54.2K | $3.5M | $64.01 | 4.09x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 86.9K | $3.3M | $38.17 | 1.47x |
| 87529 | Detection test by nucleic acid for herpes simplex virus, amplified probe technique | 84.5K | $3.1M | $36.52 | 1.42x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 47.2K | $2.7M | $57.54 | 4.42x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 71.2K | $2.6M | $36.80 | 1.41x |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 57.4K | $2.4M | $41.38 | 5.67x |
| 87496 | Detection test by nucleic acid for cytomegalovirus (cmv), amplified probe technique | 56.9K | $2.1M | $36.32 | 1.43x |
| 87532 | Detection test by nucleic acid for herpes virus-6, amplified probe technique | 54.0K | $1.9M | $35.99 | 1.41x |
| 87482 | Detection test for candida species (yeast) | 34.0K | $1.8M | $53.87 | 1.65x |
| 81226 | Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) common variants | 3.9K | $1.7M | $441.41 | 4.05x |
| 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 | 62.9K | $1.6M | $24.87 | 2.26x |
This provider submits charges 2.68 times higher than what Medicare actually pays.
A markup ratio of 2.68x means for every $100 Medicare pays, this provider initially charges $268. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Genomic Health, Inc. | Redwood City, CA | $887.6M | ✓ Clear |
| Unilab Corporation | West Hills, CA | $868.8M | ⚠️ Flagged |
| Caredx Inc. | Brisbane, CA | $751.0M | ✓ Clear |
| Laboratory Corporation Of America | San Diego, CA | $592.4M | ⚠️ Flagged |
| Millennium Health, Llc | San Diego, CA | $587.9M | ✓ 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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