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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. St Paul Place Specialists, Inc.
🔬
Organization

St Paul Place Specialists, Inc.

NPI: 1679618359
Baltimore, MD
10 years of data
Clinical Laboratory
$23.9M
Total Payments
1.2M
Beneficiaries
1.8M
Services
3.25x
Markup Ratio

Peer Comparison

96th
percentile in specialty
This provider$23.9M
Specialty median$1.9M

📋 Key Findings

1Billed $23.9M over 10 years
23.25x markup ratio (above median)
396th percentile in Clinical Laboratory by payments
419 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $23.9M in total Medicare payments ranks in the 96th 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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$64.06$20.263.16x$43.80$1.9M146.0K96.8K
2015$66.27$20.813.18x$45.46$2.1M158.6K104.4K
2016$67.41$21.303.16x$46.11$2.3M164.8K108.9K
2017$72.77$22.163.28x$50.61$2.4M168.8K114.6K
2018$70.90$22.183.20x$48.72$2.3M167.9K116.8K
2019$68.96$22.093.12x$46.87$2.1M173.9K119.9K
2020$75.64$23.033.28x$52.61$2.6M167.8K118.0K
2021$78.18$23.723.30x$54.46$2.9M193.3K132.5K
2022$86.88$25.333.43x$61.55$2.9M202.3K139.4K
2023$81.67$23.833.43x$57.84$2.6M213.6K145.6K

Top Procedures (20)

80053Blood test, comprehensive group of blood chemicals⚠ 3.5x markup
$2.9M
259.5K services$11.33/svc3.46x markup
80061Blood test, lipids (cholesterol and triglycerides)⚠ 3.6x markup
$2.1M
159.3K services$13.30/svc3.58x markup
84443Blood test, thyroid stimulating hormone (TSH)⚠ 3.2x markup
$2.1M
106.5K services$19.26/svc3.23x markup
82306Vitamin D-3 level⚠ 3.2x markup
$1.9M
54.7K services$34.05/svc3.20x markup
85025Complete blood cell count (red cells, white blood cell, platelets), automated test⚠ 3.2x markup
$1.6M
184.4K services$8.91/svc3.21x markup
U0003Infectious 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⚠ 3.0x markup
$1.6M
18.4K services$84.54/svc3.03x markup
83036Hemoglobin A1C level⚠ 3.3x markup
$951.9K
88.8K services$10.72/svc3.27x markup
84439Thyroxine (thyroid chemical) measurement⚠ 3.3x markup
$570.2K
55.4K services$10.29/svc3.26x markup
84153PSA (prostate specific antigen) measurement⚠ 3.2x markup
$484.8K
22.9K services$21.16/svc3.22x markup
0241UNfct ds vir resp rna 4 trgt
$462.3K
3.3K services$141.04/svc1.06x markup
82728Ferritin (blood protein) level⚠ 3.3x markup
$453.2K
29.7K services$15.25/svc3.25x markup
83550Iron binding capacity⚠ 3.3x markup
$392.3K
39.7K services$9.87/svc3.27x markup
80048Blood test, basic group of blood chemicals⚠ 3.4x markup
$380.6K
40.2K services$9.46/svc3.39x markup
82607Cyanocobalamin (vitamin B-12) level⚠ 3.2x markup
$354.4K
20.3K services$17.49/svc3.22x markup
87086Bacterial colony count, urine⚠ 3.2x markup
$353.5K
37.8K services$9.36/svc3.20x markup
85027Complete blood cell count (red cells, white blood cell, platelets), automated test⚠ 3.2x markup
$326.2K
44.1K services$7.40/svc3.24x markup
83540Iron level⚠ 3.3x markup
$297.8K
40.8K services$7.31/svc3.25x markup
83970Parathormone (parathyroid hormone) level⚠ 3.2x markup
$261.6K
5.7K services$46.28/svc3.23x markup
U0005Infectious 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⚠ 3.0x markup
$244.6K
9.8K services$24.87/svc3.02x markup
81001Manual urinalysis test with examination using microscope⚠ 3.2x markup
$181.8K
46.8K services$3.88/svc3.23x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
80053Blood test, comprehensive group of blood chemicals259.5K$2.9M$11.333.46x
80061Blood test, lipids (cholesterol and triglycerides)159.3K$2.1M$13.303.58x
84443Blood test, thyroid stimulating hormone (TSH)106.5K$2.1M$19.263.23x
82306Vitamin D-3 level54.7K$1.9M$34.053.20x
85025Complete blood cell count (red cells, white blood cell, platelets), automated test184.4K$1.6M$8.913.21x
U0003Infectious 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-r18.4K$1.6M$84.543.03x
83036Hemoglobin A1C level88.8K$951.9K$10.723.27x
84439Thyroxine (thyroid chemical) measurement55.4K$570.2K$10.293.26x
84153PSA (prostate specific antigen) measurement22.9K$484.8K$21.163.22x
0241UNfct ds vir resp rna 4 trgt3.3K$462.3K$141.041.06x
82728Ferritin (blood protein) level29.7K$453.2K$15.253.25x
83550Iron binding capacity39.7K$392.3K$9.873.27x
80048Blood test, basic group of blood chemicals40.2K$380.6K$9.463.39x
82607Cyanocobalamin (vitamin B-12) level20.3K$354.4K$17.493.22x
87086Bacterial colony count, urine37.8K$353.5K$9.363.20x
85027Complete blood cell count (red cells, white blood cell, platelets), automated test44.1K$326.2K$7.403.24x
83540Iron level40.8K$297.8K$7.313.25x
83970Parathormone (parathyroid hormone) level5.7K$261.6K$46.283.23x
U0005Infectious 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 within9.8K$244.6K$24.873.02x
81001Manual urinalysis test with examination using microscope46.8K$181.8K$3.883.23x

Markup Analysis

Charge-to-Payment Ratio

3.25x

This provider submits charges 3.25 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.25x means for every $100 Medicare pays, this provider initially charges $325. This is higher than the national average.

Location

Baltimore, MD

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Clinical Laboratory providers in MD for peer comparison.

St Paul Place Specialists, Inc. (you)
$23.9M
Quest Diagnostics Incorporated Md⚠️
$318.4M
Genedx Llc
$67.3M
Theranostix Inc
$61.4M
Realtox Labs, Llc
$53.6M
Cirrus Dx, Inc.
$37.3M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Quest Diagnostics Incorporated MdBaltimore, MD$318.4M⚠️ Flagged
Genedx LlcGaithersburg, MD$67.3M✓ Clear
Theranostix IncBeltsville, MD$61.4M✓ Clear
Realtox Labs, LlcReisterstown, MD$53.6M✓ Clear
Cirrus Dx, Inc.Rockville, MD$37.3M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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