This provider's $11.5M in total Medicare payments ranks in the 92th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 339% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 89666% in 2023
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 | $837.47 | $693.31 | 1.21x | $144.16 | $2.1M | 3.1K | 4 |
| 2022 | $105.27 | $34.78 | 3.03x | $70.49 | $10.4K | 299 | 2 |
| 2023 | $77.11 | $38.97 | 1.98x | $38.14 | $9.3M | 239.5K | 9 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 111.9K | $3.8M | $34.39 | 2.04x |
| 87150 | Identification of organisms by genetic analysis, amplified probe technique | 36.9K | $1.3M | $34.39 | 1.45x |
| 81408 | Molecular pathology procedure level 9 | 614 | $1.2M | $2.0K | 1.20x |
| 87631 | Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets | 5.3K | $739.6K | $139.78 | 2.04x |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 5.3K | $496.7K | $93.88 | 2.04x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 13.2K | $452.4K | $34.39 | 1.46x |
| 87634 | Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique | 5.3K | $364.0K | $68.80 | 2.04x |
| 87529 | Detection test by nucleic acid for herpes simplex virus, amplified probe technique | 10.6K | $363.9K | $34.39 | 4.06x |
| 87652 | Detection test by nucleic acid for strep (streptococcus, group a), quantification | 6.6K | $269.3K | $40.92 | 1.96x |
| 81407 | Molecular pathology procedure level 8 | 307 | $259.8K | $846.27 | 1.21x |
| 87641 | Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique | 6.6K | $226.2K | $34.39 | 1.46x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 6.6K | $226.2K | $34.39 | 1.46x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 5.3K | $182.4K | $34.39 | 2.04x |
| 87498 | Detection test by nucleic acid for enterovirus (intestinal virus), amplified probe technique | 5.3K | $182.0K | $34.39 | 2.04x |
| 87486 | Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique | 5.3K | $181.8K | $34.39 | 2.04x |
| 87581 | Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique | 5.3K | $181.8K | $34.39 | 2.04x |
| 87541 | Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique | 5.3K | $181.8K | $34.39 | 2.04x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 5.2K | $179.8K | $34.39 | 2.04x |
| 81439 | Test for detecting genes associated with inherited disease of heart muscle | 300 | $175.5K | $584.90 | 1.21x |
| 81404 | Molecular pathology procedure level 5 | 613 | $168.5K | $274.83 | 1.23x |
This provider submits charges 1.84 times higher than what Medicare actually pays.
A markup ratio of 1.84x means for every $100 Medicare pays, this provider initially charges $184. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Clinical Pathology Laboratories, Inc. | Austin, TX | $541.0M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Irving, TX | $453.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Dallas, TX | $389.6M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Houston, TX | $311.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Houston, TX | $299.4M | ⚠️ Flagged |
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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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