This provider's $68.0M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 135015% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1999% 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 |
|---|---|---|---|---|---|---|---|
| 2017 | $417.05 | $163.48 | 2.55x | $253.57 | $12.3K | 75 | 1 |
| 2018 | $230.78 | $61.60 | 3.75x | $169.18 | $257.4K | 4.2K | 34 |
| 2019 | $184.92 | $77.10 | 2.40x | $107.82 | $5.2M | 67.3K | 76 |
| 2020 | $191.67 | $76.55 | 2.50x | $115.12 | $14.5M | 190.1K | 88 |
| 2021 | $129.29 | $47.40 | 2.73x | $81.89 | $16.3M | 343.3K | 98 |
| 2022 | $96.99 | $35.04 | 2.77x | $61.95 | $15.1M | 431.7K | 92 |
| 2023 | $82.79 | $32.19 | 2.57x | $50.60 | $16.6M | 514.7K | 105 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 401.2K | $13.9M | $34.65 | 2.67x |
| 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 | 159.0K | $13.3M | $83.42 | 2.56x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 117.3K | $8.2M | $69.61 | 2.68x |
| 87150 | Identification of organisms by genetic analysis, amplified probe technique | 199.7K | $7.0M | $34.98 | 2.67x |
| 81493 | Test for detecting genes associated with heart vessels diseases | 2.5K | $2.6M | $1.0K | 1.10x |
| 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 | 104.2K | $2.6M | $24.91 | 2.62x |
| 81408 | Molecular pathology procedure level 9 | 882 | $1.7M | $2.0K | 1.61x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 69.0K | $1.6M | $23.36 | 2.62x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 39.9K | $1.4M | $34.77 | 2.69x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 38.7K | $1.3M | $34.78 | 2.69x |
| 87631 | Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets | 5.8K | $830.4K | $142.27 | 2.87x |
| 87633 | Detection test for multiple types of respiratory virus | 1.9K | $810.5K | $422.77 | 2.77x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 22.4K | $782.8K | $34.88 | 2.67x |
| 87641 | Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique | 21.7K | $753.3K | $34.78 | 2.66x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 20.1K | $706.4K | $35.15 | 2.76x |
| 87507 | Detection test for digestive tract pathogen | 1.2K | $529.6K | $453.83 | 2.57x |
| 81226 | Gene analysis (cytochrome p450, family 2, subfamily d, polypeptide 6) common variants | 1.1K | $487.0K | $435.22 | 1.87x |
| 81162 | Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants | 253 | $480.3K | $1.9K | 1.45x |
| 81436 | Test for detecting genes associated with colon cancer, duplication/deletion analysis panel, at least 5 genes | 756 | $443.7K | $586.94 | 1.48x |
| 81317 | Gene analysis (postmeiotic segregation increased 2 [s cerevisiae]) full sequence analysis | 659 | $439.5K | $666.87 | 1.35x |
This provider submits charges 2.63 times higher than what Medicare actually pays.
A markup ratio of 2.63x means for every $100 Medicare pays, this provider initially charges $263. 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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