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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Ideal Diagnostic
🔬
Organization

Ideal Diagnostic

NPI: 1831816065
North Miami Beach, FL
2 years of data
Clinical Laboratory
$6.7M
Total Payments
35
Beneficiaries
15.0K
Services
1.76x
Markup Ratio

Peer Comparison

86th
percentile in specialty
This provider$6.7M
Specialty median$1.9M

📋 Key Findings

1Billed $6.7M over 2 years
21.76x markup ratio
3Payments surged 176% in 2023
✓ No flags detected

🔎 Data Analysis

This provider's $6.7M in total Medicare payments ranks in the 86th percentile of Clinical Laboratory providers nationally.

Medicare payments to this provider grew 176% from 2022 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 176% in 2023

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2022$811.51$459.221.77x$352.29$1.8M3.9K14
2023$771.32$439.641.75x$331.68$4.9M11.2K21

Top Procedures (20)

81292Gene analysis (mutl homolog 1, colon cancer, nonpolyposis type 2) full sequence analysis
$679.8K
1.0K services$661.89/svc1.77x markup
81162Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants
$674.2K
377 services$1.8K/svc1.77x markup
81351Gene analysis (tumor protein 53) full sequence analysis
$668.6K
1.1K services$629.01/svc1.77x markup
81307Gene analysis (partner and localizer of brca2) full sequence analysis
$647.1K
976 services$662.97/svc1.76x markup
81317Gene analysis (postmeiotic segregation increased 2 [s cerevisiae]) full sequence analysis
$594.0K
896 services$662.97/svc1.77x markup
81201Gene analysis (adenomatous polyposis coli), full gene sequence
$573.3K
750 services$764.40/svc1.77x markup
81298Gene analysis (muts homolog 6 [e coli]) full sequence analysis
$570.5K
907 services$629.01/svc1.77x markup
81321Gene analysis (phosphatase and tensin homolog), full sequence analysis
$373.4K
635 services$588.00/svc1.75x markup
81295Gene analysis (muts homolog 2, colon cancer, nonpolyposis type 1) full sequence analysis
$359.5K
961 services$374.07/svc1.77x markup
81300Gene analysis (muts homolog 6 [e coli]) duplication or deletion variants
$235.6K
1.0K services$233.24/svc1.77x markup
81297Gene analysis (muts homolog 2, colon cancer, nonpolyposis type 1) duplication or deletion variants
$214.9K
1.0K services$209.03/svc1.77x markup
81294Gene analysis (mutl homolog 1, colon cancer, nonpolyposis type 2) duplication or deletion variants
$206.7K
1.0K services$198.35/svc1.76x markup
81319Gene analysis (postmeiotic segregation increased 2 [s cerevisiae]) duplication or deletion variants
$201.6K
1.0K services$199.43/svc1.77x markup
81323Gene analysis (phosphatase and tensin homolog), duplication or deletion variant
$194.6K
662 services$294.00/svc1.75x markup
81203Gene analysis (adenomatous polyposis coli), duplication or deletion variants
$157.2K
802 services$196.00/svc1.77x markup
81273Gene analysis (v-kit hardy-zuckerman 4 feline sarcoma viral oncogene homolog), d816 variants
$130.0K
1.1K services$122.37/svc1.77x markup
81249Gene analysis (glucose-6-phosphate dehydrogenase) full sequence analysis
$25.3K
43 services$588.00/svc1.53x markup
81238Gene analysis (coagulation factor ix) full sequence analysis
$24.7K
42 services$588.00/svc1.53x markup
81223Gene analysis (cystic fibrosis transmembrane conductance regular) full gene sequence
$21.0K
43 services$489.02/svc1.53x markup
81222Gene analysis (cystic fibrosis transmembrane conductance regular) duplication or deletion variants
$19.2K
45 services$426.37/svc1.53x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
81292Gene analysis (mutl homolog 1, colon cancer, nonpolyposis type 2) full sequence analysis1.0K$679.8K$661.891.77x
81162Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants377$674.2K$1.8K1.77x
81351Gene analysis (tumor protein 53) full sequence analysis1.1K$668.6K$629.011.77x
81307Gene analysis (partner and localizer of brca2) full sequence analysis976$647.1K$662.971.76x
81317Gene analysis (postmeiotic segregation increased 2 [s cerevisiae]) full sequence analysis896$594.0K$662.971.77x
81201Gene analysis (adenomatous polyposis coli), full gene sequence750$573.3K$764.401.77x
81298Gene analysis (muts homolog 6 [e coli]) full sequence analysis907$570.5K$629.011.77x
81321Gene analysis (phosphatase and tensin homolog), full sequence analysis635$373.4K$588.001.75x
81295Gene analysis (muts homolog 2, colon cancer, nonpolyposis type 1) full sequence analysis961$359.5K$374.071.77x
81300Gene analysis (muts homolog 6 [e coli]) duplication or deletion variants1.0K$235.6K$233.241.77x
81297Gene analysis (muts homolog 2, colon cancer, nonpolyposis type 1) duplication or deletion variants1.0K$214.9K$209.031.77x
81294Gene analysis (mutl homolog 1, colon cancer, nonpolyposis type 2) duplication or deletion variants1.0K$206.7K$198.351.76x
81319Gene analysis (postmeiotic segregation increased 2 [s cerevisiae]) duplication or deletion variants1.0K$201.6K$199.431.77x
81323Gene analysis (phosphatase and tensin homolog), duplication or deletion variant662$194.6K$294.001.75x
81203Gene analysis (adenomatous polyposis coli), duplication or deletion variants802$157.2K$196.001.77x
81273Gene analysis (v-kit hardy-zuckerman 4 feline sarcoma viral oncogene homolog), d816 variants1.1K$130.0K$122.371.77x
81249Gene analysis (glucose-6-phosphate dehydrogenase) full sequence analysis43$25.3K$588.001.53x
81238Gene analysis (coagulation factor ix) full sequence analysis42$24.7K$588.001.53x
81223Gene analysis (cystic fibrosis transmembrane conductance regular) full gene sequence43$21.0K$489.021.53x
81222Gene analysis (cystic fibrosis transmembrane conductance regular) duplication or deletion variants45$19.2K$426.371.53x

Markup Analysis

Charge-to-Payment Ratio

1.76x

This provider submits charges 1.76 times higher than what Medicare actually pays.

What This Means

A markup ratio of 1.76x means for every $100 Medicare pays, this provider initially charges $176. This is lower than the national average.

Location

North Miami Beach, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Clinical Laboratory providers in FL for peer comparison.

Ideal Diagnostic (you)
$6.7M
Quest Diagnostics Clinical Laboratories Inc⚠️
$1.0B
Laboratory Corporation Of America⚠️
$463.1M
Quest Diagnostics Clinical Laboratories Inc⚠️
$417.1M
American Health S, Llc
$175.7M
Ameripath Florida Llc
$80.1M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Quest Diagnostics Clinical Laboratories IncTampa, FL$1.0B⚠️ Flagged
Laboratory Corporation Of AmericaTampa, FL$463.1M⚠️ Flagged
Quest Diagnostics Clinical Laboratories IncMiramar, FL$417.1M⚠️ Flagged
American Health S, LlcDavie, FL$175.7M✓ Clear
Ameripath Florida LlcPompano Beach, FL$80.1M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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