This provider's $27.7M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 3772% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 18749% in 2015
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 | $16.77 | $9.28 | 1.81x | $7.49 | $15.9K | 1.4K | 1.4K |
| 2015 | $26.67 | $16.44 | 1.62x | $10.23 | $3.0M | 255.6K | 184.1K |
| 2016 | $37.95 | $15.98 | 2.37x | $21.97 | $3.8M | 292.8K | 199.4K |
| 2017 | $51.65 | $21.51 | 2.40x | $30.14 | $3.7M | 286.5K | 193.0K |
| 2018 | $47.21 | $20.95 | 2.25x | $26.26 | $2.8M | 220.5K | 145.1K |
| 2019 | $96.23 | $52.90 | 1.82x | $43.33 | $3.4M | 210.0K | 151.7K |
| 2020 | $282.53 | $176.94 | 1.60x | $105.59 | $6.9M | 30.7K | 20.5K |
| 2021 | $272.24 | $180.88 | 1.51x | $91.36 | $1.4M | 24.2K | 16.3K |
| 2022 | $72.36 | $20.84 | 3.47x | $51.52 | $2.2M | 48.6K | 14.3K |
| 2023 | $61.53 | $17.35 | 3.55x | $44.18 | $615.7K | 13.5K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| U0003 | 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, making use of high throughput technologies as described by cms-2020-01-r | 33.6K | $2.5M | $74.87 | 4.01x |
| 81408 | Molecular pathology procedure level 9 | 1.0K | $2.0M | $2.0K | 1.39x |
| G0483 | Drug test def 22+ classes | 6.2K | $1.4M | $231.64 | 6.48x |
| 82306 | Vitamin D-3 level | 38.2K | $1.4M | $37.45 | 1.36x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 63.2K | $1.3M | $21.19 | 1.41x |
| 81442 | Gene analysis (noonan syndrome) genomic sequence analysis | 532 | $1.1M | $2.1K | 1.40x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 84.2K | $818.3K | $9.72 | 1.50x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 58.5K | $805.9K | $13.78 | 2.10x |
| 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 | 32.3K | $796.3K | $24.68 | 3.04x |
| 81411 | Test for detecting genes associated with heart disease | 564 | $761.5K | $1.4K | 1.40x |
| 80053 | Blood test, comprehensive group of blood chemicals | 74.0K | $728.6K | $9.85 | 1.87x |
| 81407 | Molecular pathology procedure level 8 | 717 | $606.8K | $846.25 | 1.40x |
| 83036 | Hemoglobin A1C level | 46.5K | $563.0K | $12.10 | 1.72x |
| 81162 | Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants | 208 | $388.2K | $1.9K | 1.38x |
| 84480 | Thyroid hormone, T3 measurement | 20.4K | $365.4K | $17.94 | 1.34x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 18.2K | $352.2K | $19.40 | 2.06x |
| 81413 | Test for detecting genes associated with heart disease | 602 | $352.1K | $584.90 | 1.40x |
| 81405 | Molecular pathology procedure level 6 | 1.2K | $352.0K | $300.05 | 1.39x |
| 84439 | Thyroxine (thyroid chemical) measurement | 30.3K | $343.6K | $11.35 | 1.45x |
| 82728 | Ferritin (blood protein) level | 19.2K | $330.7K | $17.23 | 1.69x |
This provider submits charges 2.27 times higher than what Medicare actually pays.
A markup ratio of 2.27x means for every $100 Medicare pays, this provider initially charges $227. 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 NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Raritan, NJ | $1.2B | ⚠️ Flagged |
| Quest Diagnostics Incorporated | Clifton, NJ | $927.2M | ⚠️ Flagged |
| Bioreference Health, Llc | Elmwood Park, NJ | $841.0M | ⚠️ Flagged |
| Accu Reference Medical Lab, Llc | Linden, NJ | $204.9M | ⚠️ Flagged |
| Aculabs Inc | East Brunswick, NJ | $91.5M | ✓ 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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