This provider's $6.3M in total Medicare payments ranks in the 85th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 194% from 2022 to 2023.
60% of their billing comes from a single procedure code (87798 — Detection test by nucleic acid for organism, amplified probe technique).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 194% 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 |
|---|---|---|---|---|---|---|---|
| 2022 | $59.78 | $36.72 | 1.63x | $23.06 | $1.6M | 43.9K | 9 |
| 2023 | $60.73 | $38.29 | 1.59x | $22.44 | $4.7M | 123.5K | 11 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 111.2K | $3.8M | $34.40 | 1.60x |
| 87900 | Infectious agent drug susceptibility analysis | 5.4K | $689.0K | $127.72 | 1.58x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 13.9K | $478.5K | $34.45 | 1.60x |
| 87652 | Detection test by nucleic acid for strep (streptococcus, group a), quantification | 8.5K | $349.5K | $40.93 | 1.59x |
| 87799 | Detection test by nucleic acid for organism, quantification | 7.2K | $303.2K | $41.95 | 1.41x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 8.6K | $294.7K | $34.40 | 1.60x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 8.6K | $294.7K | $34.40 | 1.60x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 1.4K | $46.6K | $34.52 | 1.59x |
| 87899 | Detection test by immunoassay with direct visual observation for other organism | 2.0K | $31.1K | $15.80 | 3.43x |
| 87150 | Identification of organisms by genetic analysis, amplified probe technique | 408 | $14.0K | $34.39 | 1.60x |
| 87482 | Detection test for candida species (yeast), quantification | 238 | $13.0K | $54.69 | 1.58x |
| 87086 | Bacterial colony count, urine | 20 | $158.20 | $7.91 | 1.64x |
This provider submits charges 1.6 times higher than what Medicare actually pays.
A markup ratio of 1.6x means for every $100 Medicare pays, this provider initially charges $160. 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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