This provider's $17.3M in total Medicare payments ranks in the 94th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 65% from 2017 to 2023.
69% of their billing comes from a single procedure code (80307 — Testing for presence of drug).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 154% 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 | $89.73 | $39.80 | 2.25x | $49.93 | $1.1M | 18.6K | 4.0K |
| 2018 | $92.08 | $41.88 | 2.20x | $50.20 | $2.9M | 42.3K | 7.1K |
| 2019 | $108.88 | $31.06 | 3.51x | $77.82 | $3.2M | 48.4K | 8.4K |
| 2020 | $121.39 | $33.47 | 3.63x | $87.92 | $3.1M | 44.7K | 6.0K |
| 2021 | $121.39 | $33.77 | 3.59x | $87.62 | $2.7M | 38.2K | 6.0K |
| 2022 | $121.39 | $33.37 | 3.64x | $88.02 | $2.5M | 35.8K | 5.3K |
| 2023 | $121.39 | $33.88 | 3.58x | $87.51 | $1.9M | 28.0K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80307 | Testing for presence of drug | 189.7K | $12.0M | $63.38 | 3.79x |
| G0480 | Drug test(s), definitive, utilizing 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 (an | 44.0K | $5.0M | $112.64 | 2.65x |
| 87389 | Detection test for HIV-1 and HIV-2 | 5.1K | $133.4K | $25.99 | 2.99x |
| 86803 | Hepatitis C antibody measurement | 5.5K | $82.9K | $15.20 | 3.03x |
| 87340 | Detection test for Hepatitis B surface antigen | 5.4K | $60.5K | $11.25 | 2.94x |
| 80076 | Liver function blood test panel | 5.8K | $57.2K | $9.85 | 8.12x |
| 36415 | Insertion of needle into vein for collection of blood sample | 417 | $1.4K | $3.44 | 2.90x |
| 81025 | Urine pregnancy test | 85 | $717.40 | $8.44 | 4.74x |
This provider submits charges 3.46 times higher than what Medicare actually pays.
A markup ratio of 3.46x means for every $100 Medicare pays, this provider initially charges $346. 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 MA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Massachusetts Llc | Marlborough, MA | $276.5M | ⚠️ Flagged |
| Quest Diagnostics Llc | Marlborough, MA | $268.6M | ⚠️ Flagged |
| Foundation Medicine, Inc. | Cambridge, MA | $232.3M | ✓ Clear |
| Boston Heart Diagnostics Corporation | Framingham, MA | $185.1M | ✓ Clear |
| Cohen Dermatopathology, P.C. | Needham, MA | $88.9M | ✓ 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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