This provider's $20.6M 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.
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 | $16.92 | $15.87 | 1.07x | $1.05 | $1.8M | 153.9K | 103.8K |
| 2015 | $16.25 | $15.30 | 1.06x | $0.95 | $1.9M | 159.2K | 107.8K |
| 2016 | $30.21 | $29.06 | 1.04x | $1.15 | $2.1M | 163.0K | 111.5K |
| 2017 | $29.73 | $28.62 | 1.04x | $1.11 | $2.4M | 163.7K | 113.6K |
| 2018 | $31.15 | $27.81 | 1.12x | $3.34 | $2.5M | 166.9K | 114.4K |
| 2019 | $26.07 | $25.33 | 1.03x | $0.74 | $2.4M | 172.6K | 117.0K |
| 2020 | $33.60 | $31.19 | 1.08x | $2.41 | $2.0M | 162.9K | 113.7K |
| 2021 | $27.66 | $27.55 | 1.00x | $0.11 | $1.9M | 163.0K | 113.5K |
| 2022 | $24.09 | $23.78 | 1.01x | $0.31 | $1.9M | 159.5K | 112.0K |
| 2023 | $20.11 | $19.62 | 1.02x | $0.49 | $1.6M | 140.5K | 97.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 98.9K | $1.9M | $19.54 | 1.03x |
| 80053 | Blood test, comprehensive group of blood chemicals | 167.7K | $1.8M | $10.97 | 1.15x |
| 82306 | Vitamin D-3 level | 47.9K | $1.6M | $32.92 | 1.02x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 172.1K | $1.6M | $9.02 | 1.03x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 104.6K | $1.4M | $13.13 | 1.23x |
| 84481 | Thyroid hormone, T3 measurement | 44.6K | $881.5K | $19.78 | 1.03x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 20.3K | $837.4K | $41.26 | 1.03x |
| 87507 | Detection test for digestive tract pathogen | 1.6K | $762.7K | $483.32 | 1.05x |
| 87633 | Detection test for multiple types of respiratory virus | 1.5K | $724.4K | $479.40 | 1.05x |
| 84439 | Thyroxine (thyroid chemical) measurement | 68.9K | $721.3K | $10.46 | 1.03x |
| 36415 | Insertion of needle into vein for collection of blood sample | 202.2K | $699.3K | $3.46 | 1.02x |
| 83036 | Hemoglobin A1C level | 59.7K | $672.2K | $11.26 | 1.03x |
| 83970 | Parathormone (parathyroid hormone) level | 10.7K | $497.8K | $46.61 | 1.03x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 20.2K | $435.1K | $21.51 | 1.03x |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 20.5K | $400.6K | $19.51 | 1.03x |
| 82728 | Ferritin (blood protein) level | 25.6K | $398.5K | $15.57 | 1.03x |
| 81001 | Manual urinalysis test with examination using microscope | 87.8K | $324.3K | $3.70 | 1.03x |
| 82550 | Creatine kinase (cardiac enzyme) level | 50.7K | $305.1K | $6.02 | 1.31x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 17.4K | $302.4K | $17.41 | 1.03x |
| 83735 | Magnesium level | 37.1K | $280.7K | $7.56 | 1.03x |
This provider submits charges 1.07 times higher than what Medicare actually pays.
A markup ratio of 1.07x means for every $100 Medicare pays, this provider initially charges $107. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Clinical Pathology Laboratories, Inc. | Austin, TX | $541.0M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Irving, TX | $453.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Dallas, TX | $389.6M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Houston, TX | $311.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Houston, TX | $299.4M | ⚠️ Flagged |
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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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