This provider's $20.8M in total Medicare payments ranks in the 95th 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.
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $426.46 | $274.70 | 1.55x | $151.76 | $7.0M | 57.4K | 26.9K |
| 2021 | $300.26 | $180.62 | 1.66x | $119.64 | $7.4M | 146.0K | 21.1K |
| 2022 | $102.47 | $46.16 | 2.22x | $56.31 | $6.1M | 124.1K | 14.4K |
| 2023 | $118.83 | $43.00 | 2.76x | $75.83 | $375.8K | 11.1K | 8.1K |
| 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 | 148.3K | $11.5M | $77.52 | 1.93x |
| 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 | 131.6K | $3.3M | $24.92 | 1.51x |
| 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 | 25.1K | $2.5M | $99.99 | 4.62x |
| 81408 | Molecular pathology procedure level 9 | 508 | $1.0M | $2.0K | 1.20x |
| 81407 | Molecular pathology procedure level 8 | 487 | $411.9K | $845.75 | 1.50x |
| 87633 | Detection test for multiple types of respiratory virus | 667 | $275.2K | $412.59 | 1.52x |
| 81439 | Test for detecting genes associated with inherited disease of heart muscle | 355 | $207.6K | $584.90 | 1.50x |
| 81405 | Molecular pathology procedure level 6 | 508 | $152.8K | $300.76 | 1.20x |
| 81406 | Molecular pathology procedure level 7 | 502 | $141.8K | $282.53 | 1.20x |
| 81404 | Molecular pathology procedure level 5 | 502 | $137.8K | $274.57 | 1.20x |
| 87798 | Detection test for organism | 3.0K | $102.1K | $34.56 | 2.78x |
| 87653 | Detection test for strep (streptococcus, group b) | 2.9K | $99.8K | $34.56 | 1.81x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 4.0K | $94.6K | $23.41 | 4.58x |
| 81403 | Molecular pathology procedure level 4 | 507 | $93.8K | $184.97 | 1.20x |
| 87801 | Detection test for multiple organisms | 1.3K | $91.4K | $69.57 | 2.59x |
| 87481 | Detection test for candida species (yeast) | 2.6K | $88.3K | $34.52 | 2.32x |
| 87500 | Detection test for vancomycin resistance strep (vre) | 2.4K | $83.8K | $34.52 | 7.30x |
| 87640 | Detection test for staphylococcus aureus (bacteria) | 2.3K | $78.6K | $34.08 | 1.89x |
| 87641 | Detection test for staphylococcus aureus, methicillin resistant (mrsa bacteria) | 1.3K | $44.0K | $34.78 | 1.51x |
| 87637 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus | 300 | $41.9K | $139.78 | 1.90x |
This provider submits charges 2.16 times higher than what Medicare actually pays.
A markup ratio of 2.16x means for every $100 Medicare pays, this provider initially charges $216. 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 AR for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Advanced Pathology Solutions, Pllc | North Little Rock, AR | $70.2M | ✓ 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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