This provider's $24.8M in total Medicare payments ranks in the 96th percentile of Clinical Laboratory providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $112.78 | $24.77 | 4.55x | $88.01 | $24.7M | 2.0M | 1.1M |
| 2015 | $69.75 | $15.38 | 4.54x | $54.37 | $132.2K | 10.4K | 10.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 82306 | Vitamin D-3 level | 62.1K | $2.5M | $39.54 | 4.84x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 105.2K | $2.4M | $22.47 | 3.72x |
| 80053 | Blood test, comprehensive group of blood chemicals | 175.4K | $1.8M | $10.54 | 5.01x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 151.6K | $1.6M | $10.40 | 3.17x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 121.3K | $1.6M | $12.80 | 5.46x |
| 83036 | Hemoglobin A1C level | 91.2K | $1.2M | $12.97 | 4.84x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 40.6K | $817.5K | $20.12 | 4.81x |
| 84439 | Thyroxine (thyroid chemical) measurement | 54.5K | $655.6K | $12.04 | 10.05x |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge. | 110.7K | $637.1K | $5.75 | 1.03x |
| 82746 | Folic acid level | 27.3K | $536.6K | $19.63 | 4.20x |
| 36415 | Insertion of needle into vein for collection of blood sample | 177.1K | $520.4K | $2.94 | 4.42x |
| 85610 | Blood test, clotting time | 91.3K | $480.3K | $5.26 | 5.23x |
| 82728 | Ferritin (blood protein) level | 26.1K | $474.2K | $18.19 | 4.11x |
| 84153 | PSA (prostate specific antigen) measurement | 18.2K | $447.3K | $24.55 | 3.99x |
| 84480 | Thyroid hormone, T3 measurement | 21.5K | $407.5K | $18.93 | 4.42x |
| 87086 | Bacterial colony count, urine | 36.8K | $396.7K | $10.78 | 5.00x |
| 80048 | Blood test, basic group of blood chemicals | 50.2K | $383.2K | $7.63 | 4.58x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 6.8K | $308.5K | $45.37 | 4.85x |
| 83550 | Iron binding capacity | 24.5K | $285.7K | $11.67 | 2.36x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 35.2K | $273.8K | $7.77 | 3.40x |
This provider submits charges 4.56 times higher than what Medicare actually pays.
A markup ratio of 4.56x means for every $100 Medicare pays, this provider initially charges $456. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Northwell Health Laboratories | New Hyde Park, NY | $299.4M | ⚠️ Flagged |
| Sunrise Medical Laboratories, Inc. | Hicksville, NY | $281.2M | ⚠️ Flagged |
| Lenco Diagnostic Laboratories,inc. | Brooklyn, NY | $101.5M | ⚠️ Flagged |
| Enzo Clinical Labs, Inc. | Farmingdale, NY | $100.1M | ⚠️ Flagged |
| Cblpath, Inc | Rye Brook, NY | $94.4M | ✓ 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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