This provider's $26.7M in total Medicare payments ranks in the 96th 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 | $54.41 | $21.91 | 2.48x | $32.50 | $7.2M | 559.0K | 366.0K |
| 2015 | $61.66 | $24.60 | 2.51x | $37.06 | $7.8M | 601.0K | 401.5K |
| 2016 | $58.36 | $23.45 | 2.49x | $34.91 | $8.8M | 666.7K | 446.8K |
| 2017 | $55.75 | $23.29 | 2.39x | $32.46 | $2.9M | 204.1K | 169.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 197.5K | $2.3M | $11.50 | 2.38x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 88.7K | $2.0M | $22.34 | 2.21x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 111.4K | $1.7M | $15.14 | 2.88x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 155.1K | $1.6M | $10.32 | 2.50x |
| 36415 | Insertion of needle into vein for collection of blood sample | 347.9K | $1.0M | $2.92 | 5.66x |
| 83036 | Hemoglobin A1C level | 71.7K | $923.8K | $12.88 | 2.16x |
| 82306 | Vitamin D-3 level | 27.5K | $876.7K | $31.91 | 2.25x |
| 83970 | Parathormone (parathyroid hormone) level | 14.1K | $775.5K | $54.85 | 2.19x |
| G0431 | Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter | 8.0K | $763.8K | $96.05 | 2.40x |
| 80048 | Blood test, basic group of blood chemicals | 69.8K | $741.9K | $10.63 | 2.57x |
| G0480 | Drug test def 1-7 classes | 5.9K | $512.1K | $86.45 | 3.26x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 23.2K | $465.9K | $20.04 | 2.50x |
| 84153 | PSA (prostate specific antigen) measurement | 17.6K | $428.5K | $24.40 | 2.10x |
| 87086 | Bacterial colony count, urine | 36.6K | $392.6K | $10.74 | 2.40x |
| G0479 | Drug tests(s), presumptive, any number of drug classes; any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay, enzyme assay, TOF, MALDI, LDTD, DESI, DART, GHPC, GC mass spectrometry), includes sample validation when | 4.8K | $363.9K | $76.38 | 2.97x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 7.9K | $358.0K | $45.12 | 4.29x |
| 84403 | Testosterone (hormone) level | 10.0K | $341.7K | $34.02 | 2.01x |
| 84439 | Thyroxine (thyroid chemical) measurement | 27.4K | $327.5K | $11.96 | 2.53x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 41.2K | $283.2K | $6.87 | 3.12x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 32.6K | $279.8K | $8.59 | 2.49x |
This provider submits charges 2.64 times higher than what Medicare actually pays.
A markup ratio of 2.64x means for every $100 Medicare pays, this provider initially charges $264. 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 OR for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Interpath Laboratory, Inc. | Pendleton, OR | $75.4M | ✓ Clear |
| Legacy Laboratory Services, Llc | Portland, OR | $35.7M | ✓ 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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