This provider's $31.1M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 105% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 67% in 2016
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $52.38 | $14.43 | 3.63x | $37.95 | $1.4M | 100.1K | 150 |
| 2015 | $52.55 | $15.22 | 3.45x | $37.33 | $1.8M | 117.3K | 168 |
| 2016 | $55.17 | $15.87 | 3.48x | $39.30 | $3.0M | 187.8K | 183 |
| 2017 | $54.96 | $15.69 | 3.50x | $39.27 | $4.0M | 256.2K | 185 |
| 2018 | $54.94 | $15.66 | 3.51x | $39.28 | $4.0M | 256.6K | 188 |
| 2019 | $52.39 | $13.43 | 3.90x | $38.96 | $3.3M | 246.4K | 180 |
| 2020 | $56.29 | $16.01 | 3.52x | $40.28 | $3.7M | 229.4K | 169 |
| 2021 | $56.04 | $14.89 | 3.76x | $41.15 | $3.7M | 246.3K | 180 |
| 2022 | $55.01 | $13.42 | 4.10x | $41.59 | $3.2M | 239.1K | 171 |
| 2023 | $53.19 | $12.56 | 4.23x | $40.63 | $3.0M | 236.2K | 181 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 149.8K | $2.0M | $13.31 | 4.27x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 101.4K | $1.9M | $18.92 | 3.36x |
| 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 | 20.5K | $1.7M | $84.91 | 1.65x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 164.8K | $1.6M | $9.51 | 6.84x |
| 80053 | Blood test, comprehensive group of blood chemicals | 126.7K | $1.5M | $11.81 | 7.22x |
| 82306 | Vitamin d-3 level | 40.1K | $1.4M | $34.56 | 2.20x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 138.0K | $1.2M | $8.73 | 5.49x |
| 87507 | Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets | 2.4K | $1.2M | $496.09 | 1.03x |
| 87086 | Bacterial colony count, urine | 89.9K | $839.5K | $9.33 | 3.54x |
| 83036 | Hemoglobin a1c level | 70.9K | $782.5K | $11.04 | 3.88x |
| 86832 | Assessment of antibody to human leukocyte antigens (hla) with high definition qualitative panel for identification of antibody specificities, hla class i | 2.7K | $727.3K | $271.06 | 2.41x |
| 86833 | Assessment of antibody to human leukocyte antigens (hla) with high definition qualitative panel for identification of antibody specificities, hla class ii | 2.7K | $715.7K | $267.77 | 2.44x |
| 83970 | Parathormone (parathyroid hormone) level | 13.0K | $609.2K | $46.81 | 2.58x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 14.1K | $588.3K | $41.63 | 3.59x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 48.8K | $493.2K | $10.11 | 3.17x |
| 87077 | Bacterial culture for aerobic isolates | 52.0K | $466.6K | $8.98 | 2.39x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 23.6K | $403.0K | $17.10 | 3.10x |
| 36415 | Insertion of needle into vein for collection of blood sample | 98.9K | $360.3K | $3.64 | 4.80x |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 16.9K | $356.4K | $21.13 | 3.24x |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | 10.2K | $329.0K | $32.17 | 2.11x |
This provider submits charges 3.71 times higher than what Medicare actually pays.
A markup ratio of 3.71x means for every $100 Medicare pays, this provider initially charges $371. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data