This provider's $25.7M 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 | $46.33 | $18.04 | 2.57x | $28.29 | $2.6M | 268.6K | 137.3K |
| 2015 | $46.53 | $18.29 | 2.54x | $28.24 | $2.8M | 287.3K | 146.2K |
| 2016 | $47.37 | $19.18 | 2.47x | $28.19 | $2.9M | 299.6K | 150.8K |
| 2017 | $46.46 | $19.12 | 2.43x | $27.34 | $2.7M | 287.0K | 132.3K |
| 2018 | $47.38 | $20.40 | 2.32x | $26.98 | $2.6M | 261.2K | 122.9K |
| 2019 | $49.92 | $19.44 | 2.57x | $30.48 | $2.9M | 313.9K | 164.0K |
| 2020 | $53.16 | $18.41 | 2.89x | $34.75 | $2.9M | 243.7K | 131.4K |
| 2021 | $51.64 | $17.85 | 2.89x | $33.79 | $2.3M | 231.5K | 128.2K |
| 2022 | $51.50 | $18.19 | 2.83x | $33.31 | $1.9M | 214.6K | 118.1K |
| 2023 | $51.01 | $17.89 | 2.85x | $33.12 | $2.1M | 208.8K | 112.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 163.9K | $1.9M | $11.48 | 2.88x |
| 36415 | Insertion of needle into vein for collection of blood sample | 498.0K | $1.7M | $3.34 | 2.33x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 84.8K | $1.7M | $19.46 | 2.65x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 98.3K | $1.4M | $14.00 | 3.60x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 151.3K | $1.3M | $8.88 | 3.39x |
| 80048 | Blood test, basic group of blood chemicals | 132.7K | $1.2M | $9.42 | 2.95x |
| 82306 | Vitamin D-3 level | 31.9K | $1.1M | $34.38 | 2.50x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 125.1K | $966.3K | $7.72 | 3.37x |
| 83036 | Hemoglobin A1C level | 82.4K | $905.5K | $10.99 | 2.55x |
| 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 | 9.5K | $876.5K | $92.22 | 4.07x |
| G0480 | Drug test def 1-7 classes | 6.5K | $662.1K | $101.50 | 1.24x |
| 85610 | Blood test, clotting time | 124.9K | $611.8K | $4.90 | 3.48x |
| 87086 | Bacterial colony count, urine | 49.5K | $479.8K | $9.69 | 2.59x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 26.1K | $454.3K | $17.39 | 2.53x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 9.4K | $392.8K | $41.66 | 2.35x |
| 83970 | Parathormone (parathyroid hormone) level | 7.6K | $366.9K | $47.96 | 2.48x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) | 31.0K | $321.6K | $10.39 | 3.05x |
| 87088 | Bacterial urine culture | 32.7K | $317.6K | $9.70 | 2.47x |
| 82746 | Folic acid level | 15.8K | $275.7K | $17.45 | 2.46x |
| 84153 | PSA (prostate specific antigen) measurement | 12.8K | $274.7K | $21.48 | 2.65x |
This provider submits charges 2.77 times higher than what Medicare actually pays.
A markup ratio of 2.77x means for every $100 Medicare pays, this provider initially charges $277. 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 |
| Boston Heart Diagnostics Corporation | Framingham, MA | $185.1M | ✓ Clear |
| Cohen Dermatopathology, P.C. | Needham, MA | $88.9M | ✓ 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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