This provider's $12.1M in total Medicare payments ranks in the 92th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 9734% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 4152% in 2016
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2015 | $59.77 | $24.34 | 2.46x | $35.43 | $15.5K | 678 | 625 |
| 2016 | $170.64 | $50.19 | 3.40x | $120.45 | $661.2K | 8.4K | 4.8K |
| 2017 | $315.76 | $96.00 | 3.29x | $219.76 | $719.0K | 5.1K | 2.9K |
| 2018 | $314.72 | $101.31 | 3.11x | $213.41 | $490.2K | 3.9K | 2.3K |
| 2019 | $201.38 | $52.92 | 3.81x | $148.46 | $976.4K | 9.4K | 4.5K |
| 2020 | $219.34 | $65.79 | 3.33x | $153.55 | $1.8M | 26.7K | 12.1K |
| 2021 | $236.01 | $71.05 | 3.32x | $164.96 | $2.4M | 43.4K | 14.4K |
| 2022 | $139.24 | $41.68 | 3.34x | $97.56 | $3.5M | 64.1K | 10.5K |
| 2023 | $86.20 | $28.23 | 3.05x | $57.97 | $1.5M | 34.0K | 12.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 42.0K | $3.2M | $75.34 | 3.98x |
| G0483 | Drug test def 22+ classes | 12.4K | $2.9M | $238.68 | 4.02x |
| 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 | 39.7K | $979.0K | $24.68 | 3.04x |
| 87631 | Detection test for multiple types of respiratory virus | 6.7K | $951.9K | $142.11 | 2.23x |
| 80307 | Testing for presence of drug | 13.3K | $880.4K | $65.97 | 4.80x |
| G0480 | Drug test(s), definitive, utilizing 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 (an | 3.8K | $425.6K | $112.12 | 3.93x |
| G0482 | Drug test def 15-21 classes | 1.6K | $313.5K | $195.79 | 3.37x |
| 87798 | Detection test for organism | 8.6K | $300.8K | $34.94 | 2.48x |
| 87486 | Detection test for chlamydia pneumoniae | 7.4K | $258.9K | $35.01 | 2.47x |
| 87581 | Detection test for mycoplasma pneumoniae (bacteria) | 7.4K | $258.9K | $35.01 | 2.47x |
| 87541 | Detection test for legionella pneumophila (water borne bacteria) | 7.4K | $258.8K | $35.01 | 2.47x |
| 87640 | Detection test for staphylococcus aureus (bacteria) | 5.2K | $182.9K | $35.08 | 2.47x |
| 87532 | Detection test for herpes virus-6 | 5.2K | $182.9K | $35.08 | 2.47x |
| 87496 | Detection test for cytomegalovirus (cmv) | 5.2K | $182.8K | $35.08 | 2.47x |
| G0481 | Drug test def 8-14 classes | 1.2K | $178.3K | $154.68 | 2.13x |
| G0479 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when | 2.1K | $163.9K | $77.56 | 3.54x |
| 87635 | Sars-cov-2 covid-19 amp prb | 2.0K | $102.8K | $51.31 | 2.05x |
| 87481 | Detection test for candida species (yeast) | 1.4K | $48.9K | $34.70 | 2.49x |
| 87653 | Detection test for strep (streptococcus, group b) | 1.4K | $48.4K | $34.70 | 2.49x |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 651 | $32.7K | $50.28 | 2.19x |
This provider submits charges 3.53 times higher than what Medicare actually pays.
A markup ratio of 3.53x means for every $100 Medicare pays, this provider initially charges $353. 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 NV for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Incorporated | Las Vegas, NV | $182.1M | โ ๏ธ Flagged |
| Md Spine Solutions Llc | Reno, NV | $79.7M | โ 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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