This provider's $185.1M in total Medicare payments ranks in the 99th 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 | $91.21 | $22.01 | 4.14x | $69.20 | $25.9M | 1.2M | 48 |
| 2015 | $104.28 | $19.87 | 5.25x | $84.41 | $25.1M | 1.3M | 47 |
| 2016 | $93.93 | $18.37 | 5.11x | $75.56 | $25.9M | 1.4M | 51 |
| 2017 | $94.30 | $18.78 | 5.02x | $75.52 | $25.6M | 1.4M | 75 |
| 2018 | $96.05 | $19.29 | 4.98x | $76.76 | $23.0M | 1.2M | 84 |
| 2019 | $23.41 | $18.24 | 1.28x | $5.17 | $15.1M | 827.1K | 86 |
| 2020 | $34.29 | $20.44 | 1.68x | $13.85 | $13.1M | 641.2K | 94 |
| 2021 | $29.29 | $19.59 | 1.50x | $9.70 | $12.0M | 610.7K | 94 |
| 2022 | $26.04 | $18.59 | 1.40x | $7.45 | $10.4M | 558.1K | 97 |
| 2023 | $29.76 | $17.87 | 1.67x | $11.89 | $9.1M | 510.3K | 91 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 83519 | Measurement of substance using immunoassay technique, by radioimmunoassay | 1.7M | $30.5M | $18.08 | 6.19x |
| 83921 | Organic acid level | 989.0K | $21.4M | $21.66 | 6.67x |
| 83698 | Lipoprotein-associated phospholipase a2 (enzyme) level | 349.3K | $15.9M | $45.49 | 1.99x |
| 83876 | Myeloperoxidase (white blood cell enzyme) measurement | 276.9K | $13.2M | $47.50 | 2.16x |
| 83695 | Lipoprotein (a) level | 370.7K | $6.0M | $16.12 | 2.76x |
| 86141 | Measurement c-reactive protein for detection of infection or inflammation, high sensitivity | 372.0K | $5.8M | $15.72 | 2.56x |
| 83704 | Lipoprotein level, quantitation of lipoprotein particle number(s) | 155.0K | $5.7M | $36.99 | 2.59x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 392.1K | $5.2M | $13.26 | 4.85x |
| 83090 | Homocysteine (amino acid) level | 250.8K | $5.2M | $20.57 | 3.16x |
| 83701 | Lipoprotein measurement | 144.8K | $4.8M | $33.16 | 4.88x |
| 82725 | Fatty acids measurement | 259.1K | $4.7M | $18.17 | 2.15x |
| 83525 | Insulin measurement, total | 312.2K | $4.3M | $13.87 | 2.51x |
| 82306 | Vitamin d-3 level | 125.4K | $4.3M | $34.40 | 3.37x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 208.6K | $4.2M | $20.06 | 2.63x |
| 83520 | Measurement of substance using immunoassay technique | 210.9K | $3.6M | $17.04 | 3.78x |
| 81225 | Gene analysis (cytochrome P450, family 2, subfamily C, polypeptide 19) common variants | 12.6K | $3.6M | $285.76 | 1.58x |
| 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 | 37.1K | $3.2M | $86.70 | 3.07x |
| 82542 | Chemical analysis using chromatography technique | 119.0K | $2.8M | $23.74 | 1.57x |
| 83722 | Measurement of small dense low density lipoprotein cholesterol | 98.4K | $2.7M | $27.73 | 1.60x |
| 84403 | Testosterone (hormone) level, total | 76.5K | $2.3M | $30.51 | 2.95x |
This provider submits charges 3.8 times higher than what Medicare actually pays.
A markup ratio of 3.8x means for every $100 Medicare pays, this provider initially charges $380. 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 MA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Massachusetts Llc | Marlborough, MA | $276.5M | ⚠️ Flagged |
| Quest Diagnostics Llc | Marlborough, MA | $268.6M | ⚠️ Flagged |
| Foundation Medicine, Inc. | Cambridge, MA | $232.3M | ✓ Clear |
| Cohen Dermatopathology, P.C. | Needham, MA | $88.9M | ✓ Clear |
| U S Lab & Radiology Llc | Brockton, MA | $71.4M | ✓ 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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