This provider's $178.9M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 182% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 274% in 2015
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 | $15.34 | $4.04 | 3.80x | $11.30 | $5.3M | 1.3M | 114 |
| 2015 | $16.10 | $4.26 | 3.78x | $11.84 | $19.9M | 4.7M | 140 |
| 2016 | $16.23 | $4.36 | 3.72x | $11.87 | $20.2M | 4.6M | 138 |
| 2017 | $18.35 | $4.97 | 3.69x | $13.38 | $21.4M | 4.3M | 131 |
| 2018 | $18.61 | $4.92 | 3.78x | $13.69 | $22.7M | 4.6M | 136 |
| 2019 | $19.49 | $4.80 | 4.06x | $14.69 | $21.4M | 4.5M | 128 |
| 2020 | $18.97 | $5.33 | 3.56x | $13.64 | $21.9M | 4.1M | 134 |
| 2021 | $18.79 | $4.78 | 3.93x | $14.01 | $18.0M | 3.8M | 133 |
| 2022 | $17.53 | $4.61 | 3.80x | $12.92 | $13.1M | 2.8M | 128 |
| 2023 | $10.67 | $3.31 | 3.22x | $7.36 | $15.0M | 4.5M | 161 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 4.2M | $22.2M | $5.29 | 1.85x |
| 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 | 21.2M | $20.4M | $0.96 | 1.02x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 1.7M | $14.8M | $8.85 | 3.77x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 1.3M | $11.8M | $9.27 | 8.51x |
| 80053 | Blood test, comprehensive group of blood chemicals | 978.1K | $11.6M | $11.87 | 8.31x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 525.6K | $10.2M | $19.38 | 3.80x |
| 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 | 94.9K | $8.3M | $87.17 | 1.15x |
| 82306 | Vitamin d-3 level | 242.4K | $8.2M | $33.73 | 2.98x |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | 1.9M | $6.2M | $3.36 | 1.09x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 394.6K | $5.2M | $13.16 | 4.92x |
| 87086 | Bacterial colony count, urine | 540.1K | $5.1M | $9.46 | 2.89x |
| 85610 | Blood test, clotting time | 1.0M | $5.0M | $4.84 | 6.19x |
| 83036 | Hemoglobin a1c level | 437.3K | $4.9M | $11.19 | 5.54x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 93.5K | $3.8M | $40.85 | 3.28x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 367.5K | $3.6M | $9.68 | 4.13x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 422.0K | $3.3M | $7.77 | 3.50x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 155.7K | $2.7M | $17.08 | 4.13x |
| 81001 | Manual urinalysis test with examination using microscope, automated | 660.9K | $2.5M | $3.72 | 6.66x |
| 80164 | Valproic acid level, total | 166.7K | $2.3M | $14.09 | 4.73x |
| 87077 | Bacterial culture for aerobic isolates | 229.9K | $2.3M | $10.09 | 4.20x |
This provider submits charges 3.74 times higher than what Medicare actually pays.
A markup ratio of 3.74x means for every $100 Medicare pays, this provider initially charges $374. 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 OH for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Dublin, OH | $659.2M | ⚠️ Flagged |
| Assurex Health, Inc. | Mason, OH | $253.0M | ✓ Clear |
| Cleveland Heartlab Inc | Cleveland, OH | $91.8M | ⚠️ Flagged |
| Compunet Clinical Laboratories Llc | Moraine, OH | $77.5M | ✓ Clear |
| University Hospitals Laboratory Services Foundation | Cleveland, OH | $62.8M | ✓ 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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