This provider's $22.9M in total Medicare payments ranks in the 96th percentile of Clinical Laboratory providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 69% in 2020
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 | $25.94 | $14.95 | 1.74x | $10.99 | $2.3M | 198.7K | 117.3K |
| 2015 | $27.04 | $16.01 | 1.69x | $11.03 | $2.2M | 170.8K | 111.0K |
| 2016 | $30.39 | $18.16 | 1.67x | $12.23 | $2.4M | 173.3K | 110.2K |
| 2017 | $29.29 | $19.82 | 1.48x | $9.47 | $2.7M | 176.6K | 104.5K |
| 2018 | $27.61 | $19.14 | 1.44x | $8.47 | $2.1M | 140.7K | 94.6K |
| 2019 | $27.24 | $17.14 | 1.59x | $10.10 | $1.3M | 86.4K | 60.3K |
| 2020 | $27.19 | $16.64 | 1.63x | $10.55 | $2.2M | 65.4K | 37.2K |
| 2021 | $32.24 | $20.30 | 1.59x | $11.94 | $2.2M | 81.8K | 43.5K |
| 2022 | $49.76 | $24.29 | 2.05x | $25.47 | $3.6M | 120.1K | 53.9K |
| 2023 | $47.93 | $22.91 | 2.09x | $25.02 | $1.8M | 82.2K | 46.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 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 | 42.5K | $3.5M | $82.65 | 1.97x |
| G0483 | Drug test def 22+ classes | 7.9K | $1.9M | $243.10 | 1.46x |
| 82306 | Vitamin D-3 level | 37.4K | $1.4M | $36.59 | 1.37x |
| 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. | 58.1K | $1.2M | $20.18 | 1.30x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 51.5K | $1.1M | $20.85 | 1.26x |
| 80053 | Blood test, comprehensive group of blood chemicals | 72.0K | $830.6K | $11.54 | 1.50x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 80.0K | $758.2K | $9.48 | 1.41x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 30.5K | $709.2K | $23.25 | 1.99x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 51.8K | $706.3K | $13.64 | 1.51x |
| U0005 | 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, cdc or non-cdc, making use of high throughput technologies, completed within | 26.7K | $661.4K | $24.74 | 1.79x |
| 83721 | LDL cholesterol level | 50.1K | $606.0K | $12.10 | 1.42x |
| 83970 | Parathormone (parathyroid hormone) level | 11.2K | $592.4K | $52.79 | 1.29x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 30.0K | $554.0K | $18.49 | 1.36x |
| 82746 | Folic acid level | 27.3K | $504.8K | $18.47 | 1.35x |
| 83036 | Hemoglobin A1C level | 40.9K | $490.3K | $11.98 | 1.27x |
| 82728 | Ferritin (blood protein) level | 26.3K | $450.3K | $17.11 | 1.20x |
| 84466 | Transferrin (iron binding protein) level | 28.0K | $450.3K | $16.07 | 1.26x |
| 80307 | Testing for presence of drug | 6.6K | $441.0K | $66.40 | 1.66x |
| 36415 | Insertion of needle into vein for collection of blood sample | 135.2K | $421.6K | $3.12 | 1.55x |
| 86141 | Measurement C-reactive protein for detection of infection or inflammation | 18.7K | $297.8K | $15.93 | 1.41x |
This provider submits charges 1.57 times higher than what Medicare actually pays.
A markup ratio of 1.57x means for every $100 Medicare pays, this provider initially charges $157. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Llc Il | Wood Dale, IL | $446.2M | ⚠️ Flagged |
| Tempus Ai, Inc. | Chicago, IL | $213.4M | ⚠️ Flagged |
| Chicago Clinical Laboratories, Ltd | Northbrook, IL | $66.5M | ⚠️ Flagged |
| Lifescan Labs Of Illinois, Llc | Skokie, IL | $61.6M | ✓ Clear |
| Chicago Care Lab Services Llc | Chicago, IL | $56.7M | ⚠️ 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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