This provider's $66.6M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 847% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 156% in 2018
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 | $44.34 | $23.69 | 1.87x | $20.65 | $1.1M | 45.2K | 104 |
| 2015 | $41.97 | $21.27 | 1.97x | $20.70 | $1.7M | 80.7K | 139 |
| 2016 | $44.72 | $22.04 | 2.03x | $22.68 | $2.0M | 90.3K | 141 |
| 2017 | $49.18 | $23.39 | 2.10x | $25.79 | $3.2M | 138.2K | 184 |
| 2018 | $47.54 | $19.23 | 2.47x | $28.31 | $8.3M | 430.6K | 239 |
| 2019 | $54.80 | $17.61 | 3.11x | $37.19 | $9.6M | 544.8K | 242 |
| 2020 | $53.87 | $18.75 | 2.87x | $35.12 | $10.4M | 552.3K | 240 |
| 2021 | $47.84 | $18.02 | 2.65x | $29.82 | $10.1M | 557.9K | 244 |
| 2022 | $41.58 | $15.13 | 2.75x | $26.45 | $10.2M | 674.2K | 252 |
| 2023 | $48.78 | $16.96 | 2.88x | $31.82 | $10.1M | 597.5K | 250 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88185 | Flow cytometry technique for dna or cell analysis, each additional marker | 472.7K | $8.9M | $18.85 | 4.08x |
| 81450 | Targeted genomic sequence analysis panel of dna or combine dna and rna of 5-50 genes associated with blood and lymphatic system disorders | 4.4K | $3.2M | $720.32 | 4.03x |
| 88275 | Chromosome analysis for genetic defects, analyze 100-300 cells | 45.0K | $2.3M | $50.33 | 2.22x |
| 86334 | Immunologic analysis technique on serum (immunofixation) | 95.1K | $2.2M | $23.22 | 2.55x |
| 80053 | Blood test, comprehensive group of blood chemicals | 202.3K | $2.2M | $10.90 | 2.29x |
| 82784 | Gammaglobulin (immune system protein) measurement | 210.9K | $2.0M | $9.63 | 1.99x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 96.3K | $1.8M | $18.47 | 2.17x |
| 88271 | Dna testing for genetic defects | 66.8K | $1.5M | $22.52 | 2.27x |
| 84165 | Protein measurement, serum | 130.7K | $1.5M | $11.28 | 2.06x |
| 86300 | Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3 | 61.8K | $1.3M | $21.80 | 2.23x |
| 82728 | Ferritin (blood protein) level | 90.6K | $1.3M | $14.32 | 2.22x |
| 83520 | Measurement of substance using immunoassay technique | 74.1K | $1.3M | $17.14 | 1.99x |
| 81206 | Translocation analysis (bcr/abl1) major breakpoint | 7.2K | $1.3M | $174.28 | 2.20x |
| 88184 | Flow cytometry technique for dna or cell analysis, first marker | 23.6K | $1.2M | $51.17 | 3.97x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 68.3K | $1.1M | $15.91 | 2.20x |
| 88237 | Tissue culture for tumor disorders of bone marrow and blood cells | 7.2K | $1.0M | $143.87 | 2.10x |
| 83521 | Measurement of immunoglobulin light chains | 59.2K | $1.0M | $16.95 | 1.92x |
| 88264 | Chromosome analysis for genetic defects, analyze 20-25 cells | 6.9K | $994.3K | $144.43 | 2.03x |
| 84153 | Psa (prostate specific antigen) measurement, total | 50.9K | $993.5K | $19.52 | 2.46x |
| 82306 | Vitamin d-3 level | 29.4K | $953.8K | $32.47 | 1.96x |
This provider submits charges 2.7 times higher than what Medicare actually pays.
A markup ratio of 2.7x means for every $100 Medicare pays, this provider initially charges $270. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Clinical Pathology Laboratories, Inc. | Austin, TX | $541.0M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Irving, TX | $453.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Dallas, TX | $389.6M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Houston, TX | $311.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Houston, TX | $299.4M | ⚠️ Flagged |
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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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