This provider's $53.9M in total Medicare payments ranks in the 98th 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.
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 | $25.44 | $8.39 | 3.03x | $17.05 | $4.7M | 565.4K | 443.0K |
| 2015 | $17.32 | $8.39 | 2.06x | $8.93 | $4.8M | 566.4K | 443.8K |
| 2016 | $20.85 | $8.39 | 2.49x | $12.46 | $3.8M | 455.8K | 357.1K |
| 2017 | $14.28 | $8.39 | 1.70x | $5.89 | $5.4M | 644.5K | 505.0K |
| 2018 | $18.94 | $8.39 | 2.26x | $10.55 | $5.7M | 683.1K | 535.2K |
| 2019 | $21.36 | $8.39 | 2.55x | $12.97 | $6.1M | 722.7K | 566.2K |
| 2020 | $32.90 | $8.39 | 3.92x | $24.51 | $5.8M | 688.6K | 539.5K |
| 2021 | $23.39 | $8.39 | 2.79x | $15.00 | $6.2M | 737.1K | 577.5K |
| 2022 | $19.98 | $8.39 | 2.38x | $11.59 | $6.1M | 730.4K | 572.3K |
| 2023 | $14.98 | $8.39 | 1.79x | $6.59 | $5.3M | 635.1K | 497.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Comprehensive metabolic panel | 1.5M | $11.3M | $7.79 | 4.06x |
| 85025 | Complete blood cell count with differential | 537.0K | $6.9M | $12.78 | 3.54x |
| 82306 | Vitamin D-3 level | 317.2K | $5.0M | $15.63 | 4.75x |
| 84443 | Thyroid stimulating hormone (TSH) level | 482.5K | $4.7M | $9.68 | 5.11x |
| 82728 | Ferritin (blood protein) level | 340.6K | $3.4M | $9.93 | 5.28x |
| 80061 | Lipid panel | 483.1K | $3.4M | $6.99 | 3.03x |
| 83036 | Hemoglobin A1c level | 392.2K | $3.2M | $8.24 | 2.67x |
| 84153 | PSA (prostate specific antigen) measurement | 163.8K | $2.0M | $12.42 | 5.97x |
| 87086 | Bacterial colony count, urine | 342.2K | $2.0M | $5.90 | 5.16x |
| 80048 | Blood test, basic group of blood chemicals | 90.4K | $1.3M | $14.02 | 3.78x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Llc Il | Wood Dale, IL | $446.2M | ⚠️ Flagged |
| Tempus Ai, Inc. | Chicago, IL | $213.4M | ⚠️ Flagged |
| Chicago Clinical Laboratories, Ltd | Northbrook, IL | $66.5M | ⚠️ Flagged |
| Lifescan Labs Of Illinois, Llc | Skokie, IL | $61.6M | ✓ Clear |
| Chicago Care Lab Services Llc | Chicago, IL | $56.7M | ⚠️ Flagged |
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