This provider's $6.3M in total Medicare payments ranks in the 85th percentile of Clinical Laboratory providers nationally.
70% of their billing comes from a single procedure code (81455 โ Targeted genomic sequence analysis panel of dna or combine dna and rna of 51 or greater genes associated with blood and lymphatic system disorders).
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2023 | $2.6K | $1.3K | 2.03x | $1.3K | $6.3M | 4.9K | 9 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81455 | Targeted genomic sequence analysis panel of dna or combine dna and rna of 51 or greater genes associated with blood and lymphatic system disorders | 1.5K | $4.4M | $2.9K | 2.02x |
| 81194 | Gene analysis (neurotrophic receptor tyrosine kinase 1, 2, and 3) translocation analysis | 1.4K | $711.1K | $507.91 | 2.02x |
| 81301 | Microsatellite instability analysis | 1.6K | $535.6K | $341.59 | 2.02x |
| 81456 | Targeted genomic sequence analysis panel of rna of 51 or greater genes associated with blood and lymphatic system disorders | 174 | $497.9K | $2.9K | 2.05x |
| 81435 | Test for detecting genes associated with colon cancer, genomic sequence analysis panel, at least 10 genes | 91 | $52.2K | $573.20 | 2.04x |
| 81436 | Test for detecting genes associated with colon cancer, duplication/deletion analysis panel, at least 5 genes | 88 | $50.4K | $573.20 | 2.04x |
| 81432 | Test for detecting genes associated with inherited breast cancer-related disorders | 40 | $26.6K | $665.47 | 2.04x |
| 81351 | Gene analysis (tumor protein 53) full sequence analysis | 17 | $10.7K | $629.01 | 2.04x |
| 81163 | Gene analysis (breast cancer 1 and 2) of full sequence | 14 | $6.4K | $458.64 | 2.04x |
This provider submits charges 2.03 times higher than what Medicare actually pays.
A markup ratio of 2.03x means for every $100 Medicare pays, this provider initially charges $203. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Clinical Laboratories Inc | Tampa, FL | $1.0B | โ ๏ธ Flagged |
| Laboratory Corporation Of America | Tampa, FL | $463.1M | โ ๏ธ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Miramar, FL | $417.1M | โ ๏ธ Flagged |
| American Health S, Llc | Davie, FL | $175.7M | โ Clear |
| Ameripath Florida Llc | Pompano Beach, FL | $80.1M | โ 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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