This provider's $51.6M in total Medicare payments ranks in the 98th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 496% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 75% in 2017
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 | $46.81 | $16.54 | 2.83x | $30.27 | $1.4M | 86.6K | 131 |
| 2015 | $43.39 | $15.35 | 2.83x | $28.04 | $2.1M | 138.4K | 138 |
| 2016 | $24.80 | $13.82 | 1.79x | $10.98 | $3.1M | 220.7K | 127 |
| 2017 | $22.04 | $14.39 | 1.53x | $7.65 | $5.3M | 371.5K | 215 |
| 2018 | $19.68 | $13.48 | 1.46x | $6.20 | $5.8M | 429.4K | 221 |
| 2019 | $18.11 | $12.10 | 1.50x | $6.01 | $5.5M | 451.6K | 231 |
| 2020 | $17.14 | $11.45 | 1.50x | $5.69 | $5.2M | 451.0K | 237 |
| 2021 | $17.73 | $11.62 | 1.53x | $6.11 | $6.8M | 588.3K | 256 |
| 2022 | $17.82 | $11.76 | 1.52x | $6.06 | $7.8M | 667.1K | 263 |
| 2023 | $18.49 | $12.00 | 1.54x | $6.49 | $8.5M | 711.3K | 273 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 511.0K | $5.7M | $11.17 | 1.66x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 214.4K | $4.0M | $18.68 | 1.75x |
| 82306 | Vitamin d-3 level | 82.6K | $2.9M | $34.81 | 1.42x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 191.4K | $2.6M | $13.81 | 1.73x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 283.2K | $2.4M | $8.51 | 1.65x |
| 83970 | Parathormone (parathyroid hormone) level | 43.2K | $1.9M | $44.89 | 1.66x |
| 83036 | Hemoglobin a1c level | 142.3K | $1.5M | $10.70 | 1.72x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 87.3K | $1.4M | $16.47 | 1.69x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 117.8K | $1.1M | $9.14 | 1.71x |
| 36415 | Insertion of needle into vein for collection of blood sample | 227.0K | $935.3K | $4.12 | 1.57x |
| 82728 | Ferritin (blood protein) level | 54.2K | $799.4K | $14.76 | 1.66x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 107.3K | $762.6K | $7.11 | 1.62x |
| 84439 | Thyroxine (thyroid chemical), free | 74.3K | $748.5K | $10.08 | 1.75x |
| 86300 | Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3 | 38.8K | $737.8K | $19.02 | 1.40x |
| 82378 | Carcinoembryonic antigen (cea) protein level | 34.7K | $710.2K | $20.46 | 1.62x |
| 82746 | Folic acid level, serum | 43.4K | $682.4K | $15.73 | 1.64x |
| 84153 | Psa (prostate specific antigen) measurement, total | 29.2K | $582.3K | $19.92 | 1.52x |
| 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 | 6.9K | $525.7K | $76.51 | 1.21x |
| 81001 | Manual urinalysis test with examination using microscope, automated | 151.4K | $525.4K | $3.47 | 1.63x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 93.0K | $513.7K | $5.53 | 1.64x |
This provider submits charges 1.62 times higher than what Medicare actually pays.
A markup ratio of 1.62x means for every $100 Medicare pays, this provider initially charges $162. 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 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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