This provider's $70.5M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 11282% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1624% 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 | $47.57 | $20.04 | 2.37x | $27.53 | $152.1K | 7.6K | 11 |
| 2015 | $56.60 | $21.82 | 2.59x | $34.78 | $2.6M | 120.2K | 24 |
| 2016 | $332.84 | $126.76 | 2.63x | $206.08 | $1.4M | 11.0K | 31 |
| 2017 | $216.52 | $87.90 | 2.46x | $128.62 | $1.3M | 14.5K | 59 |
| 2018 | $384.18 | $148.14 | 2.59x | $236.04 | $928.3K | 6.3K | 14 |
| 2019 | $106.21 | $78.50 | 1.35x | $27.71 | $1.7M | 21.6K | 10 |
| 2020 | $51.87 | $42.82 | 1.21x | $9.05 | $9.8M | 229.6K | 27 |
| 2021 | $47.76 | $39.06 | 1.22x | $8.70 | $19.3M | 493.6K | 25 |
| 2022 | $49.39 | $42.55 | 1.16x | $6.84 | $16.0M | 375.7K | 41 |
| 2023 | $38.84 | $34.13 | 1.14x | $4.71 | $17.3M | 507.3K | 93 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 601.2K | $20.9M | $34.79 | 1.12x |
| 87150 | Identification of organisms by genetic analysis, amplified probe technique | 509.0K | $17.7M | $34.81 | 1.12x |
| G0483 | Drug test(s), definitive, utilizing (1) 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 | 41.5K | $9.9M | $239.43 | 1.54x |
| 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 | 42.0K | $3.5M | $83.03 | 1.11x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 57.8K | $1.7M | $29.50 | 1.11x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 44.1K | $1.5M | $34.80 | 1.12x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 44.1K | $1.5M | $34.75 | 1.15x |
| 87641 | Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique | 43.9K | $1.5M | $34.80 | 1.12x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 38.4K | $1.3M | $34.75 | 1.12x |
| G0482 | Drug test(s), definitive, utilizing (1) 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 | 6.0K | $1.1M | $180.33 | 1.79x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 11.3K | $765.0K | $67.46 | 2.01x |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 7.7K | $732.3K | $95.47 | 2.87x |
| 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 | 26.8K | $664.5K | $24.82 | 1.12x |
| 81479 | Molecular pathology procedure | 336 | $381.9K | $1.1K | 1.14x |
| 81418 | Genomic sequence analysis panel of at least 6 genes associated with drug metabolism | 403 | $360.0K | $893.19 | 1.46x |
| G6056 | Opiate(s), drug and metabolites, each procedure | 14.9K | $353.3K | $23.72 | 3.00x |
| G0481 | Drug test(s), definitive, utilizing (1) 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 | 2.4K | $348.3K | $145.35 | 1.61x |
| 82542 | Chemical analysis using chromatography technique | 13.3K | $307.4K | $23.18 | 2.17x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 7.7K | $269.1K | $34.92 | 1.12x |
| 87532 | Detection test by nucleic acid for herpes virus-6, amplified probe technique | 7.5K | $262.7K | $34.98 | 3.25x |
This provider submits charges 1.31 times higher than what Medicare actually pays.
A markup ratio of 1.31x means for every $100 Medicare pays, this provider initially charges $131. 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 IN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Professional Clinical Laboratories, Llc | Hammond, IN | $70.1M | ⚠️ 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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