This provider's $28.2M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 322% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 303% 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 |
|---|---|---|---|---|---|---|---|
| 2021 | $36.36 | $11.61 | 3.13x | $24.75 | $3.0M | 262.4K | 178 |
| 2022 | $36.81 | $11.38 | 3.23x | $25.43 | $12.3M | 1.1M | 280 |
| 2023 | $36.52 | $11.59 | 3.15x | $24.93 | $12.9M | 1.1M | 275 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 233.3K | $3.1M | $13.17 | 3.05x |
| 80053 | Blood test, comprehensive group of blood chemicals | 274.9K | $2.9M | $10.38 | 3.05x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 155.1K | $2.6M | $16.54 | 3.05x |
| 82306 | Vitamin d-3 level | 70.4K | $2.0M | $29.10 | 3.05x |
| 83036 | Hemoglobin a1c level | 167.0K | $1.6M | $9.55 | 3.05x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 190.4K | $1.5M | $7.64 | 3.05x |
| 36415 | Insertion of needle into vein for collection of blood sample | 203.6K | $1.1M | $5.44 | 6.07x |
| 83970 | Parathormone (parathyroid hormone) level | 22.4K | $909.6K | $40.57 | 3.05x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 100.6K | $837.2K | $8.32 | 3.05x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 98.0K | $623.8K | $6.37 | 3.05x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 29.0K | $552.2K | $19.02 | 3.05x |
| 84439 | Thyroxine (thyroid chemical), free | 48.6K | $430.5K | $8.87 | 3.05x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 27.1K | $401.9K | $14.82 | 3.05x |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 4.7K | $348.7K | $74.47 | 1.34x |
| 87086 | Bacterial colony count, urine | 41.5K | $329.8K | $7.94 | 3.05x |
| 82043 | Urine microalbumin (protein) level | 57.2K | $324.9K | $5.68 | 3.05x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 7.9K | $303.0K | $38.57 | 3.05x |
| 82728 | Ferritin (blood protein) level | 19.9K | $266.8K | $13.40 | 3.05x |
| 88377 | Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure | 937 | $255.4K | $272.53 | 3.95x |
| 84153 | Psa (prostate specific antigen) measurement, total | 12.3K | $222.8K | $18.10 | 3.05x |
This provider submits charges 3.18 times higher than what Medicare actually pays.
A markup ratio of 3.18x means for every $100 Medicare pays, this provider initially charges $318. 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 VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Rca Laboratory Services, Llc | Glen Allen, VA | $76.0M | ✓ Clear |
| Quest Diagnostics Nichols Institute, Inc. | Chantilly, VA | $37.8M | ✓ Clear |
| Vista Clinical Diagnostics Llc | Danville, VA | $35.2M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data