This provider's $109.0M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 291% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 164% 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 | $25.19 | $21.32 | 1.18x | $3.87 | $3.5M | 166.3K | 22 |
| 2015 | $20.54 | $19.31 | 1.06x | $1.23 | $9.3M | 484.3K | 21 |
| 2016 | $99.78 | $92.83 | 1.07x | $6.95 | $4.7M | 50.3K | 10 |
| 2017 | $166.41 | $162.08 | 1.03x | $4.33 | $7.0M | 43.4K | 5 |
| 2018 | $170.61 | $165.10 | 1.03x | $5.51 | $12.4M | 75.3K | 5 |
| 2019 | $170.57 | $164.79 | 1.04x | $5.78 | $15.2M | 92.5K | 5 |
| 2020 | $179.45 | $175.49 | 1.02x | $3.96 | $13.1M | 74.7K | 5 |
| 2021 | $178.17 | $175.44 | 1.02x | $2.73 | $14.7M | 83.8K | 5 |
| 2022 | $174.02 | $169.44 | 1.03x | $4.58 | $15.1M | 89.2K | 5 |
| 2023 | $176.31 | $170.26 | 1.04x | $6.05 | $13.8M | 81.3K | 5 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 156.2K | $37.7M | $241.51 | 1.03x |
| 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 | 186.9K | $36.2M | $193.63 | 1.03x |
| 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 | 66.2K | $10.0M | $151.87 | 1.03x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 125.9K | $8.2M | $64.89 | 1.05x |
| G0480 | 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 | 27.0K | $3.0M | $111.69 | 1.03x |
| G6056 | Opiate(s), drug and metabolites, each procedure | 97.8K | $2.5M | $25.95 | 1.03x |
| G6058 | Drug confirmation, each procedure | 142.1K | $2.5M | $17.67 | 1.03x |
| G6042 | Amphetamine or methamphetamine | 46.8K | $969.1K | $20.72 | 1.04x |
| G0479 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when | 11.1K | $862.1K | $77.59 | 1.04x |
| 82542 | Chemical analysis using chromatography technique | 30.0K | $724.5K | $24.12 | 1.06x |
| 83925 | Opiates (drug) measurement | 23.2K | $603.8K | $25.99 | 1.27x |
| G6031 | Benzodiazepines | 24.1K | $595.1K | $24.67 | 1.06x |
| G6053 | Methadone | 24.3K | $528.2K | $21.78 | 1.02x |
| G6044 | Cocaine or metabolite | 24.4K | $494.0K | $20.21 | 1.02x |
| 83992 | PCP drug level | 21.8K | $405.4K | $18.62 | 1.13x |
| G6052 | Meprobamate | 13.3K | $313.2K | $23.50 | 1.03x |
| 82649 | Dihydromorphinone (drug) level | 8.2K | $282.1K | $34.35 | 1.06x |
| 84311 | Chemical analysis using spectrophotometry (light) | 28.1K | $262.1K | $9.33 | 1.03x |
| 82646 | Dihydrocodeinone (drug) measurement | 8.2K | $226.1K | $27.59 | 1.06x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 30.3K | $209.0K | $6.90 | 1.07x |
This provider submits charges 1.04 times higher than what Medicare actually pays.
A markup ratio of 1.04x means for every $100 Medicare pays, this provider initially charges $104. 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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