This provider's $30.8M in total Medicare payments ranks in the 97th 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 | $41.99 | $15.81 | 2.66x | $26.18 | $3.3M | 235.3K | 159.2K |
| 2015 | $42.42 | $15.91 | 2.67x | $26.51 | $3.8M | 250.0K | 171.4K |
| 2016 | $58.54 | $19.28 | 3.04x | $39.26 | $3.6M | 231.6K | 156.9K |
| 2017 | $65.13 | $23.28 | 2.80x | $41.85 | $3.7M | 234.4K | 158.9K |
| 2018 | $64.66 | $22.87 | 2.83x | $41.79 | $3.6M | 228.4K | 157.1K |
| 2019 | $56.84 | $18.42 | 3.09x | $38.42 | $3.2M | 223.1K | 154.6K |
| 2020 | $59.58 | $19.07 | 3.12x | $40.51 | $2.5M | 191.9K | 138.9K |
| 2021 | $58.27 | $18.65 | 3.12x | $39.62 | $2.7M | 206.4K | 146.0K |
| 2022 | $46.32 | $14.08 | 3.29x | $32.24 | $2.2M | 181.8K | 131.2K |
| 2023 | $52.64 | $16.85 | 3.12x | $35.79 | $2.2M | 188.5K | 134.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 351.9K | $4.0M | $11.31 | 4.14x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 197.1K | $3.9M | $19.74 | 3.11x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 286.4K | $3.9M | $13.56 | 4.11x |
| 82306 | Vitamin D-3 level | 73.7K | $2.6M | $34.59 | 2.46x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 259.6K | $2.4M | $9.11 | 3.64x |
| 83036 | Hemoglobin A1C level | 195.4K | $2.2M | $11.34 | 3.78x |
| 80307 | Testing for presence of drug | 12.1K | $809.6K | $67.08 | 3.52x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 44.7K | $773.9K | $17.33 | 3.03x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 31.5K | $692.0K | $21.99 | 2.14x |
| 84439 | Thyroxine (thyroid chemical) measurement | 58.4K | $614.7K | $10.53 | 3.99x |
| G0480 | Drug test def 1-7 classes | 6.0K | $610.9K | $101.42 | 2.28x |
| 80048 | Blood test, basic group of blood chemicals | 69.8K | $605.3K | $8.67 | 5.07x |
| 83970 | Parathormone (parathyroid hormone) level | 12.4K | $581.6K | $47.04 | 2.96x |
| G0483 | Drug test def 22+ classes | 2.4K | $533.5K | $222.31 | 2.81x |
| G0482 | 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 | 2.4K | $470.6K | $194.72 | 2.47x |
| 82550 | Creatine kinase (cardiac enzyme) level | 63.1K | $363.8K | $5.77 | 4.34x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 3.7K | $355.0K | $96.17 | 1.35x |
| 82043 | Urine microalbumin (protein) level | 47.3K | $309.4K | $6.54 | 3.98x |
| 84153 | PSA (prostate specific antigen) measurement | 14.5K | $308.4K | $21.31 | 2.23x |
| 82746 | Folic acid level | 17.8K | $305.0K | $17.11 | 3.20x |
This provider submits charges 3.42 times higher than what Medicare actually pays.
A markup ratio of 3.42x means for every $100 Medicare pays, this provider initially charges $342. 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 IN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Patients Choice Laboratories Of Indiana, Llc | Indianapolis, IN | $70.5M | ✓ Clear |
| Professional Clinical Laboratories, Llc | Hammond, IN | $70.1M | ⚠️ 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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