Statistical flag only — not an accusation of fraud
This provider's $446.2M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 6.65x is significantly above the specialty median of 3.7x.
This provider has been statistically flagged with a risk score of 85/100. Statistical flags are not accusations of fraud.
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $79.72 | $12.96 | 6.15x | $66.76 | $32.3M | 2.5M | 365 |
| 2015 | $79.58 | $13.12 | 6.07x | $66.46 | $48.4M | 3.7M | 403 |
| 2016 | $81.53 | $13.48 | 6.05x | $68.05 | $48.3M | 3.6M | 391 |
| 2017 | $87.32 | $14.35 | 6.09x | $72.97 | $48.5M | 3.4M | 379 |
| 2018 | $86.55 | $14.29 | 6.06x | $72.26 | $54.9M | 3.8M | 398 |
| 2019 | $89.39 | $13.05 | 6.85x | $76.34 | $49.5M | 3.8M | 396 |
| 2020 | $88.97 | $12.87 | 6.91x | $76.10 | $40.9M | 3.2M | 391 |
| 2021 | $88.54 | $11.98 | 7.39x | $76.56 | $43.1M | 3.6M | 395 |
| 2022 | $88.59 | $11.59 | 7.64x | $77.00 | $40.0M | 3.4M | 394 |
| 2023 | $92.33 | $12.03 | 7.67x | $80.30 | $40.2M | 3.3M | 388 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 2.5M | $38.3M | $15.15 | 9.68x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 1.9M | $37.8M | $19.50 | 6.70x |
| 80053 | Blood test, comprehensive group of blood chemicals | 3.6M | $37.7M | $10.54 | 7.03x |
| 82306 | Vitamin d-3 level | 887.9K | $30.3M | $34.12 | 7.14x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 2.8M | $25.0M | $9.02 | 4.84x |
| G0480 | 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 | 161.5K | $17.2M | $106.81 | 2.11x |
| 83036 | Hemoglobin a1c level | 1.4M | $16.1M | $11.26 | 6.53x |
| 36415 | Insertion of needle into vein for collection of blood sample | 3.4M | $11.9M | $3.52 | 6.13x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 157.3K | $10.4M | $65.92 | 2.63x |
| 83970 | Parathormone (parathyroid hormone) level | 216.4K | $10.1M | $46.66 | 4.96x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 566.7K | $9.8M | $17.31 | 6.89x |
| 84153 | Psa (prostate specific antigen) measurement, total | 327.6K | $7.0M | $21.30 | 6.76x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 712.7K | $6.5M | $9.17 | 6.19x |
| 87086 | Bacterial colony count, urine | 684.6K | $6.4M | $9.41 | 6.35x |
| 84439 | Thyroxine (thyroid chemical), free | 589.0K | $6.1M | $10.39 | 13.96x |
| 87088 | Bacterial urine culture | 595.8K | $5.6M | $9.44 | 3.26x |
| 82746 | Folic acid level, serum | 298.2K | $5.0M | $16.81 | 6.98x |
| 82728 | Ferritin (blood protein) level | 301.8K | $4.7M | $15.52 | 7.23x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 211.9K | $4.6M | $21.65 | 6.73x |
| 87799 | Detection test by nucleic acid for organism, quantification | 79.8K | $3.9M | $49.16 | 5.96x |
This provider submits charges 6.65 times higher than what Medicare actually pays.
A markup ratio of 6.65x means for every $100 Medicare pays, this provider initially charges $665. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Tempus Ai, Inc. | Chicago, IL | $213.4M | ⚠️ Flagged |
| Chicago Clinical Laboratories, Ltd | Northbrook, IL | $66.5M | ⚠️ Flagged |
| Lifescan Labs Of Illinois, Llc | Skokie, IL | $61.6M | ✓ Clear |
| Chicago Care Lab Services Llc | Chicago, IL | $56.7M | ⚠️ Flagged |
| Vcare Testing Centre Corp. | Chicago, IL | $55.7M | ✓ 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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