This provider's $4.7M in total Medicare payments ranks in the 80th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 246% from 2021 to 2023.
95% of their billing comes from a single procedure code (81479 — Molecular pathology procedure).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 124% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $2.3K | $900.32 | 2.56x | $1.4K | $701.9K | 593 | 585 |
| 2022 | $2.8K | $1.1K | 2.49x | $1.7K | $1.6M | 1.1K | 1.1K |
| 2023 | $2.4K | $1.1K | 2.21x | $1.3K | $2.4M | 1.5K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81479 | Molecular pathology procedure | 1.7K | $4.5M | $2.6K | 1.98x |
| 81450 | Test for detecting genes associated with blood related cancer | 165 | $123.9K | $750.69 | 4.00x |
| 88360 | Microscopic genetic analysis of tumor, manual | 1.3K | $113.9K | $89.09 | 2.89x |
| 81418 | Genomic sequence analysis panel of at least 6 genes associated with drug metabolism | 26 | $12.7K | $490.00 | 1.02x |
This provider submits charges 2.05 times higher than what Medicare actually pays.
A markup ratio of 2.05x means for every $100 Medicare pays, this provider initially charges $205. 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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