Statistical flag only — not an accusation of fraud
⚠️ This provider averages 968 services per working day — physically unusual for an individual practitioner
Based on 2.4M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $54.3M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 968 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 400% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 68/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 184% in 2022
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 | $128.45 | $44.79 | 2.87x | $83.66 | $2.6M | 57.0K | 14 |
| 2015 | $124.36 | $42.43 | 2.93x | $81.93 | $2.3M | 55.2K | 25 |
| 2016 | $119.80 | $42.58 | 2.81x | $77.22 | $3.0M | 69.8K | 26 |
| 2017 | $139.31 | $47.48 | 2.93x | $91.83 | $3.0M | 62.6K | 45 |
| 2018 | $138.34 | $44.87 | 3.08x | $93.47 | $3.2M | 71.0K | 56 |
| 2019 | $96.62 | $28.54 | 3.39x | $68.08 | $4.7M | 165.4K | 71 |
| 2020 | $77.01 | $21.76 | 3.54x | $55.25 | $4.6M | 209.4K | 82 |
| 2021 | $73.50 | $21.33 | 3.45x | $52.17 | $4.8M | 222.9K | 83 |
| 2022 | $60.80 | $17.82 | 3.41x | $42.98 | $13.5M | 758.6K | 98 |
| 2023 | $58.99 | $17.08 | 3.45x | $41.91 | $12.8M | 747.5K | 102 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88185 | Flow cytometry technique for dna or cell analysis, each additional marker | 253.5K | $7.1M | $27.84 | 4.31x |
| 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 | 1.9K | $5.5M | $2.9K | 2.54x |
| 80053 | Blood test, comprehensive group of blood chemicals | 502.7K | $5.3M | $10.48 | 3.72x |
| 88374 | Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure | 29.1K | $4.4M | $152.51 | 2.19x |
| 88237 | Tissue culture for tumor disorders of bone marrow and blood cells | 26.5K | $3.9M | $147.02 | 2.92x |
| 82728 | Ferritin (blood protein) level | 150.8K | $2.0M | $13.49 | 3.58x |
| 88264 | Chromosome analysis for genetic defects, analyze 20-25 cells | 13.3K | $2.0M | $147.11 | 2.89x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 46.4K | $1.9M | $40.76 | 2.59x |
| 82784 | Gammaglobulin (immune system protein) measurement | 141.5K | $1.3M | $9.19 | 3.57x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 36.0K | $1.3M | $35.87 | 3.08x |
| 86334 | Immunologic analysis technique on serum (immunofixation) | 62.3K | $1.2M | $19.23 | 4.03x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 69.4K | $1.0M | $14.88 | 3.64x |
| 82378 | Carcinoembryonic antigen (cea) protein level | 54.9K | $1.0M | $18.80 | 3.72x |
| 84165 | Protein measurement, serum | 80.9K | $992.2K | $12.27 | 3.71x |
| 86300 | Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3 | 44.9K | $925.0K | $20.61 | 3.52x |
| 83521 | Measurement of immunoglobulin light chains | 53.2K | $898.3K | $16.89 | 2.96x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 50.9K | $844.0K | $16.58 | 3.74x |
| 83540 | Iron level | 131.5K | $840.9K | $6.40 | 3.64x |
| 88189 | Flow cytometry technique for dna or cell analysis, 16 or more markers | 11.2K | $820.4K | $73.48 | 3.65x |
| 83550 | Iron binding capacity | 79.8K | $688.6K | $8.63 | 3.62x |
This provider submits charges 3.31 times higher than what Medicare actually pays.
A markup ratio of 3.31x means for every $100 Medicare pays, this provider initially charges $331. 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 Pathology providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Wilfredo Blasini, M.D. | Fort Myers, FL | $35.8M | ⚠️ 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.
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