This provider's $31.9M in total Medicare payments ranks in the 97th 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.
Notable: Payments increased 84% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $52.53 | $19.58 | 2.68x | $32.95 | $2.2M | 173.8K | 129.4K |
| 2015 | $52.04 | $21.27 | 2.45x | $30.77 | $2.1M | 171.8K | 131.7K |
| 2016 | $53.84 | $22.87 | 2.35x | $30.97 | $2.1M | 165.0K | 125.8K |
| 2017 | $54.91 | $24.34 | 2.26x | $30.57 | $2.3M | 184.4K | 139.4K |
| 2018 | $56.53 | $24.31 | 2.33x | $32.22 | $2.8M | 222.0K | 166.4K |
| 2019 | $78.02 | $33.46 | 2.33x | $44.56 | $3.1M | 245.2K | 183.0K |
| 2020 | $75.52 | $30.67 | 2.46x | $44.85 | $5.7M | 238.8K | 182.4K |
| 2021 | $52.05 | $18.63 | 2.79x | $33.42 | $5.4M | 283.2K | 214.5K |
| 2022 | $49.47 | $18.43 | 2.68x | $31.04 | $3.6M | 250.9K | 191.6K |
| 2023 | $52.15 | $17.85 | 2.92x | $34.30 | $2.6M | 236.0K | 175.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| U0003 | 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, making use of high throughput technologies as described by cms-2020-01-r | 76.1K | $6.4M | $84.51 | 1.72x |
| 80053 | Blood test, comprehensive group of blood chemicals | 213.4K | $2.4M | $11.44 | 2.50x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 113.6K | $2.2M | $19.43 | 2.25x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 147.5K | $2.1M | $14.13 | 2.54x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 151.6K | $1.2M | $7.72 | 2.17x |
| 82306 | Vitamin D-3 level | 34.4K | $1.1M | $33.31 | 2.22x |
| 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 | 42.7K | $1.1M | $24.95 | 1.00x |
| 36415 | Insertion of needle into vein for collection of blood sample | 261.8K | $966.3K | $3.69 | 2.54x |
| 83036 | Hemoglobin A1C level | 80.0K | $885.3K | $11.07 | 2.41x |
| 81479 | Molecular pathology procedure | 302 | $871.3K | $2.9K | 2.05x |
| 83970 | Parathormone (parathyroid hormone) level | 17.0K | $767.0K | $45.05 | 1.56x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 45.0K | $764.9K | $17.01 | 2.30x |
| 87086 | Bacterial colony count, urine | 79.2K | $739.6K | $9.34 | 2.66x |
| 80048 | Blood test, basic group of blood chemicals | 74.6K | $705.2K | $9.45 | 2.49x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) | 46.8K | $465.6K | $9.94 | 2.62x |
| 82043 | Urine microalbumin (protein) level | 67.8K | $442.6K | $6.53 | 2.58x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 71.2K | $387.3K | $5.44 | 2.40x |
| 87088 | Bacterial urine culture | 35.3K | $335.1K | $9.48 | 2.47x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 8.1K | $329.0K | $40.42 | 2.12x |
| 84439 | Thyroxine (thyroid chemical) measurement | 30.2K | $309.6K | $10.26 | 2.35x |
This provider submits charges 2.2 times higher than what Medicare actually pays.
A markup ratio of 2.2x means for every $100 Medicare pays, this provider initially charges $220. 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 UT for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Myriad Genetic Laboratories, Inc. | Salt Lake City, UT | $536.1M | ✓ 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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