This provider's $4.4M in total Medicare payments ranks in the 78th 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 |
|---|---|---|---|---|---|---|---|
| 2023 | $43.17 | $34.54 | 1.25x | $8.63 | $4.4M | 126.4K | 13 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 68.8K | $2.4M | $34.39 | 1.22x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 24.6K | $845.0K | $34.39 | 1.22x |
| 87641 | Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique | 5.3K | $183.5K | $34.39 | 1.22x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 5.1K | $174.7K | $34.39 | 1.22x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 5.0K | $173.0K | $34.39 | 1.22x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 4.8K | $164.0K | $34.39 | 1.22x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 4.8K | $163.5K | $34.39 | 1.22x |
| 87529 | Detection test by nucleic acid for herpes simplex virus, amplified probe technique | 2.6K | $91.1K | $34.39 | 2.45x |
| 87491 | Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique | 1.3K | $45.6K | $34.39 | 1.22x |
| 87591 | Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique | 1.3K | $45.5K | $34.37 | 1.22x |
| 87661 | Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique | 1.3K | $45.5K | $34.39 | 1.22x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 540 | $37.2K | $68.80 | 1.22x |
| 87511 | Detection test for gardnerella vaginalis (bacteria), amplified probe technique | 812 | $27.9K | $34.39 | 1.22x |
| 87625 | Detection test by nucleic acid for human papillomavirus (hpv), types 16 and 18 only | 54 | $2.1K | $39.74 | 1.22x |
| 87563 | Detection of mycoplasma genitalium by dna or rna probe | 55 | $1.9K | $34.39 | 1.22x |
This provider submits charges 1.25 times higher than what Medicare actually pays.
A markup ratio of 1.25x means for every $100 Medicare pays, this provider initially charges $125. 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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