This provider's $17.5M in total Medicare payments ranks in the 95th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 1410% from 2019 to 2023.
82% of their billing comes from a single procedure code (K1034 — Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2030% 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 |
|---|---|---|---|---|---|---|---|
| 2019 | $43.72 | $34.99 | 1.25x | $8.73 | $950.8K | 27.2K | 24 |
| 2020 | $59.79 | $27.88 | 2.14x | $31.91 | $783.9K | 28.1K | 35 |
| 2021 | $76.62 | $24.97 | 3.07x | $51.65 | $749.7K | 30.0K | 35 |
| 2022 | $43.75 | $14.46 | 3.03x | $29.29 | $674.1K | 46.6K | 53 |
| 2023 | $35.65 | $11.65 | 3.06x | $24.00 | $14.4M | 1.2M | 38 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 1.2M | $14.2M | $11.76 | 3.06x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 45.6K | $1.6M | $36.09 | 2.10x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 6.7K | $242.3K | $36.05 | 2.17x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 3.8K | $137.3K | $36.14 | 2.05x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 15.7K | $137.2K | $8.71 | 2.46x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 3.8K | $137.0K | $36.14 | 2.06x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 3.4K | $125.2K | $36.29 | 1.93x |
| 87511 | Detection test for gardnerella vaginalis (bacteria), amplified probe technique | 3.3K | $119.0K | $36.31 | 1.92x |
| 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 | 1.4K | $115.8K | $81.85 | 3.83x |
| 87631 | Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets | 464 | $64.1K | $138.10 | 3.09x |
| 82306 | Vitamin d-3 level | 2.0K | $58.3K | $29.23 | 3.01x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 3.0K | $49.6K | $16.57 | 3.01x |
| 80053 | Blood test, comprehensive group of blood chemicals | 4.5K | $47.3K | $10.44 | 3.03x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 2.7K | $35.7K | $13.24 | 3.03x |
| 87086 | Bacterial colony count, urine | 4.3K | $34.5K | $8.03 | 2.90x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 3.9K | $30.1K | $7.69 | 3.12x |
| 87502 | Detection test for multiple types influenza virus | 306 | $29.1K | $95.22 | 2.04x |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | 27.6K | $29.0K | $1.05 | 1.11x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 1.8K | $26.7K | $14.85 | 3.02x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 600 | $23.3K | $38.76 | 3.04x |
This provider submits charges 2.92 times higher than what Medicare actually pays.
A markup ratio of 2.92x means for every $100 Medicare pays, this provider initially charges $292. 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 AL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Birmingham, AL | $692.7M | ⚠️ Flagged |
| Eurofins Diatherix Laboratories Llc | Huntsville, AL | $37.8M | ✓ 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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