This provider's $18.6M in total Medicare payments ranks in the 95th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 2660% from 2022 to 2023.
99% of their billing comes from a single procedure code (K1034 — Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2660% 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 | $13.69 | $12.83 | 1.07x | $0.86 | $648.9K | 50.6K | 5 |
| 2023 | $12.05 | $11.79 | 1.02x | $0.26 | $17.9M | 1.5M | 8 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 1.6M | $18.4M | $11.76 | 1.02x |
| 81226 | Gene analysis (cytochrome p450, family 2, subfamily d, polypeptide 6) common variants | 52 | $23.0K | $442.24 | 1.53x |
| 81306 | Gene analysis (nudix hydrolase 15) for common variants | 53 | $15.1K | $285.75 | 1.59x |
| 81225 | Gene analysis (cytochrome p450, family 2, subfamily c, polypeptide 19) common variants | 51 | $14.6K | $285.64 | 1.53x |
| 81227 | Gene analysis (cytochrome p450, family 2, subfamily c, polypeptide 9) common variants | 50 | $8.6K | $171.45 | 1.53x |
| 81328 | Gene analysis (solute carrier organic anion transporter family, member 1b1) for common variant | 50 | $8.6K | $171.45 | 1.53x |
| 81335 | Gene analysis (thiopurine s-methyltransferase) for common variant | 49 | $8.4K | $171.45 | 1.53x |
| 81381 | Hla class i typing high resolution one allele or allele group | 48 | $8.0K | $166.64 | 1.53x |
| 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 | 105 | $7.7K | $73.50 | 1.53x |
| 81231 | Gene analysis (cytochrome p450 family 3 subfamily a member 5) for common variant | 39 | $6.7K | $171.49 | 1.53x |
| 81230 | Gene analysis (cytochrome p450 family 3 subfamily a member 4) for common variant | 22 | $3.8K | $171.63 | 1.53x |
| 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 | 105 | $2.6K | $24.50 | 1.53x |
| 81355 | Gene analysis (vitamin k epoxide reductase complex subunit 1) common variants | 21 | $1.8K | $86.61 | 1.53x |
| 81241 | Gene analysis (coagulation factor v) leiden variant | 21 | $1.5K | $72.04 | 1.53x |
| 81240 | Gene analysis (prothrombin, coagulation factor ii) a variant | 21 | $1.4K | $64.50 | 1.53x |
| 81291 | Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants | 21 | $1.3K | $64.16 | 1.53x |
This provider submits charges 1.02 times higher than what Medicare actually pays.
A markup ratio of 1.02x means for every $100 Medicare pays, this provider initially charges $102. 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 OH for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Dublin, OH | $659.2M | ⚠️ Flagged |
| Assurex Health, Inc. | Mason, OH | $253.0M | ✓ Clear |
| American Health Mw, Llc | Cincinnati, OH | $178.9M | ✓ Clear |
| Cleveland Heartlab Inc | Cleveland, OH | $91.8M | ⚠️ Flagged |
| Compunet Clinical Laboratories Llc | Moraine, OH | $77.5M | ✓ 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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