This provider's $27.8M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 8.92x 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 | $134.92 | $22.18 | 6.08x | $112.74 | $4.6M | 379.5K | 253.2K |
| 2015 | $156.21 | $23.11 | 6.76x | $133.10 | $4.4M | 363.7K | 238.4K |
| 2016 | $184.02 | $25.30 | 7.27x | $158.72 | $4.1M | 336.1K | 217.3K |
| 2017 | $203.18 | $24.71 | 8.22x | $178.47 | $4.6M | 349.9K | 227.7K |
| 2018 | $200.21 | $23.95 | 8.36x | $176.26 | $5.1M | 380.5K | 251.7K |
| 2019 | $224.42 | $21.09 | 10.64x | $203.33 | $4.0M | 336.6K | 230.5K |
| 2020 | $217.85 | $19.04 | 11.44x | $198.81 | $982.4K | 86.6K | 73.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 133.6K | $2.8M | $21.27 | 7.01x |
| 82306 | Vitamin D-3 level | 69.4K | $2.6M | $37.44 | 8.67x |
| 80053 | Blood test, comprehensive group of blood chemicals | 211.7K | $2.2M | $10.17 | 8.74x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 155.4K | $2.1M | $13.73 | 8.70x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 214.1K | $2.1M | $9.84 | 6.50x |
| 83036 | Hemoglobin A1C level | 99.8K | $1.2M | $12.23 | 11.50x |
| 36415 | Insertion of needle into vein for collection of blood sample | 289.2K | $850.3K | $2.94 | 14.77x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 37.4K | $712.4K | $19.04 | 9.48x |
| 84153 | PSA (prostate specific antigen) measurement | 24.1K | $558.3K | $23.15 | 7.94x |
| 84439 | Thyroxine (thyroid chemical) measurement | 45.3K | $514.9K | $11.37 | 6.55x |
| 82746 | Folic acid level | 26.9K | $496.4K | $18.48 | 9.80x |
| 87507 | Detection test for digestive tract pathogen | 871 | $458.0K | $525.78 | 5.01x |
| 84480 | Thyroid hormone, T3 measurement | 19.9K | $358.9K | $18.00 | 7.56x |
| 82728 | Ferritin (blood protein) level | 20.5K | $348.5K | $16.99 | 8.62x |
| 83970 | Parathormone (parathyroid hormone) level | 6.1K | $311.1K | $51.38 | 6.97x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 7.1K | $309.6K | $43.31 | 7.32x |
| 85610 | Blood test, clotting time | 60.1K | $303.9K | $5.06 | 10.81x |
| 80048 | Blood test, basic group of blood chemicals | 31.5K | $296.0K | $9.41 | 6.73x |
| 84481 | Thyroid hormone, T3 measurement | 13.6K | $289.6K | $21.28 | 12.27x |
| 81001 | Manual urinalysis test with examination using microscope | 68.0K | $272.2K | $4.01 | 15.29x |
This provider submits charges 8.92 times higher than what Medicare actually pays.
A markup ratio of 8.92x means for every $100 Medicare pays, this provider initially charges $892. 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 NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Raritan, NJ | $1.2B | ⚠️ Flagged |
| Quest Diagnostics Incorporated | Clifton, NJ | $927.2M | ⚠️ Flagged |
| Bioreference Health, Llc | Elmwood Park, NJ | $841.0M | ⚠️ Flagged |
| Accu Reference Medical Lab, Llc | Linden, NJ | $204.9M | ⚠️ Flagged |
| Aculabs Inc | East Brunswick, NJ | $91.5M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data