This provider's $6.9M in total Medicare payments ranks in the 86th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 98979% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 50097% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $91.18 | $63.98 | 1.43x | $27.20 | $4.4K | 68 | 2 |
| 2021 | $463.49 | $320.84 | 1.44x | $142.65 | $2.2M | 6.8K | 22 |
| 2022 | $72.75 | $51.42 | 1.41x | $21.33 | $395.5K | 7.7K | 24 |
| 2023 | $49.92 | $38.06 | 1.31x | $11.86 | $4.3M | 113.3K | 35 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 54.2K | $1.9M | $34.38 | 1.32x |
| 87150 | Identification of organisms by genetic analysis, amplified probe technique | 25.0K | $859.6K | $34.38 | 1.28x |
| 81408 | Molecular pathology procedure level 9 | 382 | $764.0K | $2.0K | 1.25x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 10.3K | $353.2K | $34.38 | 1.32x |
| G0483 | 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 | 1.3K | $309.7K | $241.38 | 1.37x |
| 81226 | Gene analysis (cytochrome p450, family 2, subfamily d, polypeptide 6) common variants | 539 | $238.4K | $442.26 | 1.51x |
| 81405 | Molecular pathology procedure level 6 genetic analysis | 597 | $179.9K | $301.35 | 1.51x |
| 81404 | Molecular pathology procedure level 5 | 635 | $174.5K | $274.83 | 1.51x |
| 81407 | Molecular pathology procedure level 8 | 201 | $170.1K | $846.27 | 1.50x |
| 87556 | Detection test by nucleic acid for mycobacteria tuberculosis (tb bacteria), amplified probe technique | 3.6K | $148.9K | $40.84 | 1.31x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 4.3K | $148.2K | $34.38 | 1.32x |
| 81406 | Molecular pathology procedure level 7 | 513 | $145.1K | $282.88 | 1.50x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 4.1K | $141.3K | $34.38 | 1.32x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 3.8K | $130.0K | $34.38 | 1.32x |
| 81225 | Gene analysis (cytochrome p450, family 2, subfamily c, polypeptide 19) common variants | 414 | $118.5K | $286.27 | 1.54x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 1.5K | $91.1K | $60.85 | 1.34x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 2.5K | $87.3K | $34.38 | 1.32x |
| 87641 | Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique | 2.5K | $86.4K | $34.38 | 1.32x |
| 81403 | Molecular pathology procedure level 4 | 420 | $77.8K | $185.20 | 1.51x |
| 81328 | Gene analysis (solute carrier organic anion transporter family, member 1b1) for common variant | 447 | $77.6K | $173.71 | 1.54x |
This provider submits charges 1.36 times higher than what Medicare actually pays.
A markup ratio of 1.36x means for every $100 Medicare pays, this provider initially charges $136. 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 VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Rca Laboratory Services, Llc | Glen Allen, VA | $76.0M | ✓ Clear |
| Quest Diagnostics Nichols Institute, Inc. | Chantilly, VA | $37.8M | ✓ Clear |
| Vista Clinical Diagnostics Llc | Danville, VA | $35.2M | ✓ 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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