This provider's $7.5M in total Medicare payments ranks in the 87th 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.
Notable: Payments increased 65% in 2023
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 | $58.88 | $13.88 | 4.24x | $45.00 | $897.3K | 74.7K | 52.8K |
| 2015 | $58.44 | $14.00 | 4.17x | $44.44 | $918.3K | 79.1K | 51.1K |
| 2016 | $58.91 | $13.79 | 4.27x | $45.12 | $775.1K | 74.3K | 45.4K |
| 2017 | $55.34 | $13.23 | 4.18x | $42.11 | $848.0K | 81.4K | 50.1K |
| 2018 | $55.26 | $12.59 | 4.39x | $42.67 | $704.8K | 72.5K | 42.6K |
| 2019 | $53.41 | $11.40 | 4.69x | $42.01 | $640.8K | 71.6K | 43.9K |
| 2020 | $84.42 | $10.96 | 7.70x | $73.46 | $559.0K | 65.7K | 39.6K |
| 2021 | $54.51 | $12.17 | 4.48x | $42.34 | $563.2K | 63.2K | 39.4K |
| 2022 | $65.62 | $17.40 | 3.77x | $48.22 | $604.4K | 52.6K | 31.5K |
| 2023 | $66.79 | $17.48 | 3.82x | $49.31 | $999.5K | 55.9K | 31.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 82306 | Vitamin D-3 level | 23.7K | $830.9K | $35.03 | 2.71x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 28.9K | $576.8K | $19.93 | 3.50x |
| 83970 | Parathormone (parathyroid hormone) level | 8.8K | $437.5K | $49.83 | 1.91x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 42.4K | $389.2K | $9.19 | 7.62x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 30.6K | $378.4K | $12.37 | 5.66x |
| 87636 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b | 2.6K | $366.2K | $139.78 | 2.15x |
| 80053 | Blood test, comprehensive group of blood chemicals | 28.3K | $312.6K | $11.06 | 6.33x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 17.7K | $311.0K | $17.54 | 3.42x |
| 83036 | Hemoglobin A1C level | 25.4K | $289.1K | $11.38 | 6.15x |
| 36415 | Insertion of needle into vein for collection of blood sample | 80.4K | $266.6K | $3.32 | 4.52x |
| 84481 | Thyroid hormone, T3 measurement | 15.4K | $254.8K | $16.54 | 4.23x |
| 82728 | Ferritin (blood protein) level | 11.5K | $186.5K | $16.15 | 3.71x |
| 87634 | Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique | 2.6K | $180.7K | $68.80 | 1.31x |
| 83735 | Magnesium level | 18.5K | $146.3K | $7.93 | 4.41x |
| 82747 | Folic acid level | 6.9K | $143.4K | $20.75 | 3.37x |
| 80048 | Blood test, basic group of blood chemicals | 16.3K | $142.4K | $8.73 | 5.78x |
| 84436 | Thyroxine (thyroid chemical) measurement | 16.7K | $137.0K | $8.19 | 8.55x |
| 84479 | Thyroid hormone evaluation | 16.2K | $124.1K | $7.68 | 9.77x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) | 12.0K | $120.8K | $10.06 | 2.98x |
| 83550 | Iron binding capacity | 11.2K | $114.2K | $10.21 | 6.85x |
This provider submits charges 4.45 times higher than what Medicare actually pays.
A markup ratio of 4.45x means for every $100 Medicare pays, this provider initially charges $445. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Llc Il | Wood Dale, IL | $446.2M | ⚠️ Flagged |
| Tempus Ai, Inc. | Chicago, IL | $213.4M | ⚠️ Flagged |
| Chicago Clinical Laboratories, Ltd | Northbrook, IL | $66.5M | ⚠️ Flagged |
| Lifescan Labs Of Illinois, Llc | Skokie, IL | $61.6M | ✓ Clear |
| Chicago Care Lab Services Llc | Chicago, IL | $56.7M | ⚠️ 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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