This provider's $4.1M in total Medicare payments ranks in the 76th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 40982% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1223% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $217.11 | $59.90 | 3.62x | $157.21 | $3.1K | 52 | 52 |
| 2016 | $226.51 | $54.57 | 4.15x | $171.94 | $3.9K | 74 | 74 |
| 2017 | $118.15 | $55.38 | 2.13x | $62.77 | $52.2K | 565 | 563 |
| 2018 | $123.60 | $50.17 | 2.46x | $73.43 | $252.8K | 4.6K | 4.5K |
| 2019 | $190.59 | $95.54 | 1.99x | $95.05 | $425.4K | 7.2K | 7.1K |
| 2020 | $301.14 | $71.24 | 4.23x | $229.90 | $629.0K | 10.6K | 10.3K |
| 2021 | $326.92 | $71.99 | 4.54x | $254.93 | $714.8K | 11.0K | 10.8K |
| 2022 | $323.98 | $87.89 | 3.69x | $236.09 | $701.0K | 9.8K | 9.6K |
| 2023 | $473.40 | $187.78 | 2.52x | $285.62 | $1.3M | 10.3K | 10.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88374 | Microscopic genetic examination using computer-assisted technology | 22.9K | $822.0K | $35.89 | 5.66x |
| 88189 | Flow cytometry technique for DNA or cell analysis | 11.5K | $790.3K | $68.69 | 2.23x |
| 88264 | Chromosome analysis for genetic defects | 5.2K | $753.7K | $144.33 | 1.55x |
| 88120 | Cell examination of urine, manual | 1.5K | $639.6K | $423.31 | 1.98x |
| 81445 | Test for detecting genes associated with cancer of body organ | 515 | $304.7K | $591.67 | 7.39x |
| 88377 | Microscopic genetic examination manual | 4.2K | $224.7K | $53.06 | 3.89x |
| 88361 | Microscopic genetic analysis of tumor | 1.7K | $73.8K | $43.59 | 2.27x |
| 81455 | Targeted genomic sequence analysis panel of dna or combine dna and rna of 51 or greater genes associated with blood and lymphatic system disorders | 26 | $72.1K | $2.8K | 1.70x |
| 88342 | Tissue or cell analysis by immunologic technique | 907 | $50.2K | $55.37 | 2.20x |
| 88121 | Cell examination of urine | 659 | $49.2K | $74.69 | 2.75x |
| 88360 | Microscopic genetic analysis of tumor | 868 | $37.5K | $43.16 | 2.17x |
| 88341 | Special stained specimen slides to examine tissue | 680 | $35.5K | $52.27 | 2.53x |
| 0022U | DNA and RNA gene analysis for non-small cell lung cancer | 19 | $33.8K | $1.8K | 1.46x |
| 88188 | Flow cytometry technique for DNA or cell analysis | 492 | $25.0K | $50.82 | 3.01x |
| 88184 | Flow cytometry technique for DNA or cell analysis | 418 | $23.7K | $56.60 | 2.40x |
| 88365 | Analysis of genetic material | 158 | $17.9K | $112.99 | 1.81x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 281 | $15.0K | $53.54 | 2.28x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 262 | $13.7K | $52.17 | 2.50x |
| 85097 | Bone marrow, smear interpretation | 246 | $13.6K | $55.37 | 2.35x |
| 88364 | Cell examination | 115 | $11.4K | $99.36 | 2.40x |
This provider submits charges 3.24 times higher than what Medicare actually pays.
A markup ratio of 3.24x means for every $100 Medicare pays, this provider initially charges $324. 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 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 |
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