This provider's $17.9M 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.
Notable: Payments increased 70% in 2020
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 | $99.01 | $33.72 | 2.94x | $65.29 | $1.5M | 49.5K | 48.7K |
| 2015 | $63.63 | $20.69 | 3.08x | $42.94 | $1.4M | 47.6K | 46.2K |
| 2016 | $65.28 | $19.51 | 3.35x | $45.77 | $1.4M | 47.4K | 46.0K |
| 2017 | $70.36 | $20.97 | 3.36x | $49.39 | $1.6M | 48.4K | 47.1K |
| 2018 | $69.86 | $18.99 | 3.68x | $50.87 | $1.8M | 54.6K | 52.1K |
| 2019 | $70.79 | $17.16 | 4.13x | $53.63 | $1.6M | 55.9K | 53.4K |
| 2020 | $72.61 | $18.46 | 3.93x | $54.15 | $2.8M | 63.1K | 59.5K |
| 2021 | $79.23 | $19.31 | 4.10x | $59.92 | $1.9M | 62.8K | 59.4K |
| 2022 | $95.65 | $24.25 | 3.94x | $71.40 | $2.0M | 51.9K | 49.6K |
| 2023 | $106.29 | $24.55 | 4.33x | $81.74 | $1.8M | 39.0K | 37.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | 216.4K | $6.3M | $28.99 | 2.91x |
| 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 | 18.2K | $1.7M | $95.79 | 1.04x |
| 87624 | Detection test for human papillomavirus (hpv) | 39.1K | $1.5M | $38.33 | 4.01x |
| 87999 | Unlisted microbiology procedure | 5.7K | $1.4M | $242.39 | 2.99x |
| 88175 | Pap test | 36.8K | $1.1M | $29.29 | 2.99x |
| 87491 | Detection test for chlamydia | 25.5K | $985.8K | $38.68 | 2.84x |
| 87591 | Detection test for Neisseria gonorrhoeae (gonorrhoeae bacteria) | 24.9K | $965.9K | $38.75 | 2.82x |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | 24.4K | $598.9K | $24.50 | 2.92x |
| 87661 | Detection test for Trichomonas vaginalis (genital parasite) | 15.7K | $598.1K | $38.17 | 2.96x |
| 88112 | Cell examination of specimen | 13.3K | $493.5K | $37.06 | 4.02x |
| G0124 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician | 16.9K | $457.0K | $26.97 | 2.48x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 3.6K | $249.2K | $69.83 | 3.23x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 2.3K | $214.6K | $93.79 | 2.14x |
| 88142 | Pap test (Pap smear) | 5.6K | $137.0K | $24.59 | 3.07x |
| 88141 | Pap test (Pap smear) | 6.9K | $126.5K | $18.40 | 3.68x |
| G0476 | Hpv combo assay ca screen | 2.9K | $115.8K | $39.75 | 3.53x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 3.3K | $113.8K | $35.02 | 2.90x |
| 87621 | Detection test for human papillomavirus (HPV) | 2.2K | $102.3K | $45.82 | 3.08x |
| 87625 | Detection test for human papillomavirus (hpv) | 2.1K | $88.0K | $41.93 | 3.10x |
| 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 | 2.9K | $71.9K | $25.00 | 1.00x |
This provider submits charges 2.91 times higher than what Medicare actually pays.
A markup ratio of 2.91x means for every $100 Medicare pays, this provider initially charges $291. This is higher than the national average.
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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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