This provider's $96.9M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 105% from 2014 to 2023.
73% of their billing comes from a single procedure code (81521 — Gene analysis of breast tumor tissue, profiling of 70 content genes and 465 housekeeping genes).
AI-generated analysis based on Medicare payment data.
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 | $4.2K | $3.4K | 1.25x | $830.62 | $5.0M | 1.5K | 2 |
| 2015 | $4.2K | $3.3K | 1.26x | $855.41 | $5.7M | 1.7K | 1 |
| 2016 | $3.5K | $2.8K | 1.27x | $740.38 | $6.6M | 2.4K | 2 |
| 2017 | $3.5K | $2.8K | 1.27x | $731.22 | $7.9M | 2.9K | 2 |
| 2018 | $3.8K | $3.4K | 1.11x | $383.50 | $10.6M | 3.1K | 2 |
| 2019 | $3.7K | $3.4K | 1.11x | $379.41 | $11.8M | 3.5K | 2 |
| 2020 | $3.7K | $3.4K | 1.10x | $328.23 | $14.4M | 4.3K | 2 |
| 2021 | $3.5K | $3.2K | 1.09x | $291.53 | $13.7M | 4.3K | 2 |
| 2022 | $3.3K | $2.9K | 1.11x | $314.04 | $11.1M | 3.8K | 2 |
| 2023 | $3.4K | $3.1K | 1.12x | $356.20 | $10.2M | 3.3K | 2 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81521 | Gene analysis of breast tumor tissue, profiling of 70 content genes and 465 housekeeping genes | 18.6K | $71.1M | $3.8K | 1.10x |
| 81479 | Molecular pathology procedure | 6.4K | $21.5M | $3.3K | 1.26x |
| 84999 | Chemistry procedures | 1.0K | $3.5M | $3.4K | 1.24x |
| 88381 | Preparation of specimen, manual | 4.6K | $739.5K | $159.62 | 1.88x |
This provider submits charges 1.15 times higher than what Medicare actually pays.
A markup ratio of 1.15x means for every $100 Medicare pays, this provider initially charges $115. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Genomic Health, Inc. | Redwood City, CA | $887.6M | ✓ Clear |
| Unilab Corporation | West Hills, CA | $868.8M | ⚠️ Flagged |
| Caredx Inc. | Brisbane, CA | $751.0M | ✓ Clear |
| Laboratory Corporation Of America | San Diego, CA | $592.4M | ⚠️ Flagged |
| Millennium Health, Llc | San Diego, CA | $587.9M | ✓ 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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