This provider's $29.1M in total Medicare payments ranks in the 97th 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 61% in 2021
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 | $48.45 | $12.58 | 3.85x | $35.87 | $2.6M | 202.8K | 112 |
| 2015 | $50.49 | $13.31 | 3.79x | $37.18 | $2.6M | 192.0K | 109 |
| 2016 | $51.32 | $13.54 | 3.79x | $37.78 | $2.7M | 198.0K | 113 |
| 2017 | $53.66 | $14.38 | 3.73x | $39.28 | $3.3M | 231.7K | 127 |
| 2018 | $54.51 | $14.41 | 3.78x | $40.10 | $3.4M | 237.9K | 126 |
| 2019 | $55.92 | $13.40 | 4.17x | $42.52 | $2.1M | 155.3K | 118 |
| 2020 | $58.62 | $27.78 | 2.11x | $30.84 | $1.9M | 68.8K | 111 |
| 2021 | $56.01 | $25.56 | 2.19x | $30.45 | $3.1M | 120.5K | 118 |
| 2022 | $41.59 | $27.66 | 1.50x | $13.93 | $4.1M | 149.3K | 136 |
| 2023 | $32.21 | $26.37 | 1.22x | $5.84 | $3.3M | 125.9K | 143 |
| 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 | 47.2K | $3.7M | $79.20 | 1.50x |
| 82306 | Vitamin d-3 level | 49.3K | $1.8M | $36.91 | 3.49x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 58.5K | $1.2M | $20.57 | 3.51x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 30.6K | $1.1M | $34.83 | 3.36x |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 3.9K | $930.6K | $240.77 | 1.10x |
| 83970 | Parathormone (parathyroid hormone) level | 18.6K | $924.1K | $49.73 | 3.05x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 19.5K | $841.6K | $43.22 | 3.37x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 43.6K | $810.0K | $18.58 | 3.32x |
| 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 | 32.0K | $793.5K | $24.78 | 1.28x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 75.7K | $719.2K | $9.51 | 3.27x |
| 80053 | Blood test, comprehensive group of blood chemicals | 62.8K | $642.7K | $10.23 | 4.64x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 26.8K | $624.2K | $23.31 | 1.13x |
| 86235 | Measurement of antibody for assessment of autoimmune disorder, any method | 25.3K | $533.3K | $21.11 | 2.71x |
| 83036 | Hemoglobin a1c level | 42.5K | $504.4K | $11.88 | 3.36x |
| 84481 | Thyroid hormone, t3 measurement, free | 24.0K | $503.6K | $20.97 | 3.24x |
| 83718 | Hdl cholesterol level | 46.0K | $480.6K | $10.45 | 3.82x |
| 86141 | Measurement c-reactive protein for detection of infection or inflammation, high sensitivity | 27.3K | $445.6K | $16.30 | 3.49x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 4.8K | $441.0K | $91.40 | 2.17x |
| 84403 | Testosterone (hormone) level, total | 13.3K | $412.3K | $30.99 | 3.19x |
| 82746 | Folic acid level, serum | 22.3K | $395.6K | $17.75 | 3.06x |
This provider submits charges 2.92 times higher than what Medicare actually pays.
A markup ratio of 2.92x means for every $100 Medicare pays, this provider initially charges $292. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Genomic Health, Inc. | Redwood City, CA | $887.6M | ✓ Clear |
| Unilab Corporation | West Hills, CA | $868.8M | ⚠️ Flagged |
| Caredx Inc. | Brisbane, CA | $751.0M | ✓ Clear |
| Laboratory Corporation Of America | San Diego, CA | $592.4M | ⚠️ Flagged |
| Millennium Health, Llc | San Diego, CA | $587.9M | ✓ 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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