This provider's $4.2M in total Medicare payments ranks in the 77th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 9.28x is significantly above the specialty median of 3.7x.
Medicare payments to this provider grew 448% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 693% 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 |
|---|---|---|---|---|---|---|---|
| 2016 | $257.67 | $19.77 | 13.03x | $237.90 | $131.1K | 6.0K | 6.0K |
| 2017 | $417.56 | $34.85 | 11.98x | $382.71 | $1.0M | 40.5K | 39.6K |
| 2018 | $338.42 | $33.55 | 10.09x | $304.87 | $171.4K | 6.9K | 6.6K |
| 2019 | $315.89 | $28.69 | 11.01x | $287.20 | $544.8K | 23.6K | 18.0K |
| 2020 | $139.80 | $20.55 | 6.80x | $119.25 | $406.3K | 14.3K | 10.4K |
| 2021 | $151.38 | $23.15 | 6.54x | $128.23 | $255.5K | 6.2K | 4.5K |
| 2022 | $296.92 | $40.61 | 7.31x | $256.31 | $905.5K | 22.3K | 13.5K |
| 2023 | $410.88 | $62.21 | 6.60x | $348.67 | $718.2K | 17.6K | 5.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 17.1K | $1.3M | $76.54 | 7.84x |
| 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 | 14.9K | $366.9K | $24.64 | 6.09x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 15.2K | $351.1K | $23.13 | 6.13x |
| G0483 | Drug test(s), definitive, utilizing 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 (an | 633 | $153.4K | $242.29 | 10.49x |
| 83970 | Parathormone (parathyroid hormone) level | 3.0K | $150.7K | $50.03 | 11.31x |
| 84403 | Testosterone (hormone) level | 3.6K | $115.0K | $31.72 | 11.43x |
| 82670 | Estradiol (hormone) level | 3.1K | $104.7K | $33.99 | 11.31x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 4.9K | $97.3K | $19.90 | 10.79x |
| 80307 | Testing for presence of drug | 1.3K | $91.0K | $72.05 | 11.32x |
| 82627 | Dehydroepiandrosterone (DHEA-S) hormone level | 2.9K | $79.4K | $27.00 | 11.37x |
| 83001 | Gonadotropin, follicle stimulating (reproductive hormone) level | 3.4K | $77.7K | $22.84 | 11.58x |
| 83002 | Gonadotropin, luteinizing (reproductive hormone) level | 3.4K | $77.2K | $22.77 | 11.57x |
| 84402 | Testosterone (hormone) level | 2.4K | $75.7K | $31.75 | 11.66x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 1.5K | $69.4K | $45.02 | 12.17x |
| 84481 | Thyroid hormone, T3 measurement | 3.3K | $66.3K | $20.37 | 11.17x |
| 86800 | Thyroglobulin (thyroid protein) antibody measurement | 3.0K | $57.9K | $19.29 | 11.34x |
| 80053 | Blood test, comprehensive group of blood chemicals | 4.9K | $54.5K | $11.11 | 12.09x |
| 86376 | Microsomal antibodies (autoantibody) measurement | 3.0K | $53.7K | $17.63 | 11.31x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 3.8K | $52.8K | $13.76 | 12.49x |
| 82533 | Cortisol (hormone) measurement | 2.7K | $52.1K | $19.61 | 11.17x |
This provider submits charges 9.28 times higher than what Medicare actually pays.
A markup ratio of 9.28x means for every $100 Medicare pays, this provider initially charges $928. 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 OK for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Diagnostic Laboratory Of Oklahoma Llc | Oklahoma City, OK | $129.7M | ⚠️ Flagged |
| Saint Francis Outreach Services Llc | Tulsa, OK | $50.6M | ⚠️ Flagged |
| Dianon Systems Inc | Oklahoma City, OK | $37.7M | ✓ 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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