This provider's $104.7M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 1730% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 416% in 2015
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 | $2.9K | $1.7K | 1.66x | $1.1K | $1.3M | 754 | 2 |
| 2015 | $2.5K | $1.5K | 1.66x | $1.0K | $6.8M | 4.5K | 2 |
| 2016 | $2.4K | $1.4K | 1.70x | $1.0K | $10.5M | 7.3K | 2 |
| 2017 | $3.2K | $1.9K | 1.66x | $1.3K | $11.3M | 5.8K | 2 |
| 2018 | $3.3K | $2.0K | 1.66x | $1.3K | $10.0M | 5.0K | 3 |
| 2019 | $3.3K | $2.0K | 1.66x | $1.3K | $10.2M | 5.1K | 2 |
| 2020 | $3.3K | $2.0K | 1.64x | $1.3K | $7.8M | 3.9K | 2 |
| 2021 | $961.34 | $589.76 | 1.63x | $371.58 | $8.6M | 14.6K | 8 |
| 2022 | $798.06 | $533.94 | 1.49x | $264.12 | $14.3M | 26.8K | 7 |
| 2023 | $3.1K | $2.3K | 1.37x | $835.25 | $24.0M | 10.7K | 4 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81551 | Gene analysis of prostate tumor tissue, profiling by real-time pcr of 3 genes | 26.9K | $53.8M | $2.0K | 1.65x |
| 81479 | Molecular pathology procedure | 15.1K | $29.7M | $2.0K | 1.67x |
| 0047U | Mrna gene analysis of 17 genes in prostate tumor tissue | 4.7K | $17.9M | $3.8K | 1.19x |
| 0339U | Mrna expression profiling of genes associated with high-grade prostate cancer | 2.6K | $2.0M | $743.70 | 1.20x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 17.2K | $602.3K | $35.00 | 1.60x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 6.6K | $232.3K | $34.99 | 1.57x |
| 87900 | Infectious agent drug susceptibility analysis | 883 | $114.7K | $129.94 | 1.54x |
| 88387 | Pathologist examination, dissection, and preparation of tissue | 3.2K | $108.8K | $33.66 | 1.70x |
| 87652 | Detection test by nucleic acid for strep (streptococcus, group a), quantification | 1.3K | $55.5K | $41.63 | 1.56x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 1.3K | $46.5K | $34.99 | 1.57x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 1.3K | $46.5K | $34.98 | 1.57x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 1.3K | $46.5K | $34.98 | 1.57x |
| 87899 | Detection test by immunoassay with direct visual observation for other organism | 1.6K | $25.0K | $16.02 | 3.18x |
| 87482 | Detection test for candida species (yeast), quantification | 47 | $2.6K | $55.61 | 1.72x |
This provider submits charges 1.57 times higher than what Medicare actually pays.
A markup ratio of 1.57x means for every $100 Medicare pays, this provider initially charges $157. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Genomic Health, Inc. | Redwood City, CA | $887.6M | ✓ Clear |
| Unilab Corporation | West Hills, CA | $868.8M | ⚠️ Flagged |
| Caredx Inc. | Brisbane, CA | $751.0M | ✓ Clear |
| Laboratory Corporation Of America | San Diego, CA | $592.4M | ⚠️ Flagged |
| Millennium Health, Llc | San Diego, CA | $587.9M | ✓ 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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