This provider's $15.0M in total Medicare payments ranks in the 94th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 599% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1954% in 2022
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 | $1.0K | $720.59 | 1.42x | $304.03 | $589.4K | 818 | 9 |
| 2015 | $1.5K | $1.1K | 1.34x | $386.33 | $3.8M | 3.4K | 5 |
| 2016 | $1.0K | $733.37 | 1.39x | $287.91 | $125.4K | 171 | 2 |
| 2018 | $1.1K | $838.33 | 1.36x | $304.10 | $135.8K | 162 | 4 |
| 2019 | $1.2K | $853.71 | 1.46x | $391.58 | $532.7K | 624 | 6 |
| 2020 | $1.2K | $865.06 | 1.43x | $369.81 | $196.4K | 227 | 2 |
| 2021 | $1.1K | $789.60 | 1.44x | $347.29 | $255.8K | 324 | 4 |
| 2022 | $212.19 | $99.83 | 2.13x | $112.36 | $5.3M | 52.6K | 10 |
| 2023 | $233.45 | $128.07 | 1.82x | $105.38 | $4.1M | 32.2K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 45.8K | $6.4M | $139.89 | 2.14x |
| 81211 | Gene analysis (breast cancer 1 and 2) full sequence and common duplication or deletion variants | 1.5K | $3.1M | $2.1K | 1.40x |
| 81213 | Gene analysis (breast cancer 1 and 2) uncommon duplication or deletion variants | 1.5K | $833.0K | $569.76 | 1.09x |
| 81226 | Gene analysis (cytochrome p450, family 2, subfamily d, polypeptide 6) common variants | 1.6K | $714.3K | $441.76 | 1.14x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 25.5K | $586.3K | $23.03 | 2.17x |
| 81162 | Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants | 275 | $516.5K | $1.9K | 1.59x |
| 81225 | Gene analysis (cytochrome p450, family 2, subfamily c, polypeptide 19) common variants | 1.7K | $490.8K | $285.53 | 1.40x |
| 81317 | Gene analysis (postmeiotic segregation increased 2 [s cerevisiae]) full sequence analysis | 609 | $435.3K | $714.80 | 1.33x |
| 81408 | Molecular pathology procedure level 9 | 179 | $351.6K | $2.0K | 1.01x |
| 81298 | Gene analysis (muts homolog 6 [e coli]) full sequence analysis | 611 | $280.9K | $459.67 | 1.36x |
| 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 | 3.5K | $255.8K | $73.92 | 2.72x |
| 81328 | Gene analysis (solute carrier organic anion transporter family, member 1b1) for common variant | 1.3K | $225.1K | $171.31 | 1.18x |
| 81295 | Gene analysis (muts homolog 2, colon cancer, nonpolyposis type 1) full sequence analysis | 611 | $162.5K | $265.95 | 2.43x |
| 81201 | Gene analysis (adenomatous polyposis coli), full gene sequence | 133 | $98.3K | $738.93 | 1.05x |
| U0005 | 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, cdc or non-cdc, making use of high throughput technologies, completed within | 3.5K | $85.0K | $24.64 | 1.01x |
| 81307 | Gene analysis (partner and localizer of brca2) full sequence analysis | 110 | $73.6K | $668.87 | 1.19x |
| 81405 | Molecular pathology procedure level 6 | 189 | $56.4K | $298.29 | 1.71x |
| 81406 | Molecular pathology procedure level 7 | 189 | $52.6K | $278.21 | 2.82x |
| 81321 | Gene analysis (phosphatase and tensin homolog), full sequence analysis | 85 | $50.1K | $588.87 | 1.27x |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 816 | $41.0K | $50.28 | 3.98x |
This provider submits charges 1.76 times higher than what Medicare actually pays.
A markup ratio of 1.76x means for every $100 Medicare pays, this provider initially charges $176. This is lower 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 NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Raritan, NJ | $1.2B | ⚠️ Flagged |
| Quest Diagnostics Incorporated | Clifton, NJ | $927.2M | ⚠️ Flagged |
| Bioreference Health, Llc | Elmwood Park, NJ | $841.0M | ⚠️ Flagged |
| Accu Reference Medical Lab, Llc | Linden, NJ | $204.9M | ⚠️ Flagged |
| Aculabs Inc | East Brunswick, NJ | $91.5M | ✓ 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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