This provider averages 51 services per working day
Based on 64.1K total services over 5 years (250 working days/year). Learn about impossible service volumes →
This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 51 services per working day raises questions about billing patterns.
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $98.41 | $63.82 | 1.54x | $34.59 | $818.7K | 12.7K | 12.6K |
| 2020 | $118.86 | $74.83 | 1.59x | $44.03 | $877.7K | 13.4K | 13.3K |
| 2021 | $109.45 | $69.80 | 1.57x | $39.65 | $877.2K | 12.6K | 12.4K |
| 2022 | $120.25 | $77.22 | 1.56x | $43.03 | $832.3K | 12.0K | 11.9K |
| 2023 | $120.25 | $73.92 | 1.63x | $46.33 | $889.9K | 13.4K | 13.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 24.7K | $2.1M | $85.05 | 1.32x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 24.9K | $1.3M | $52.93 | 2.21x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 11.2K | $696.4K | $62.42 | 1.31x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 872 | $106.1K | $121.67 | 1.38x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 145 | $32.7K | $225.58 | 1.60x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 637 | $20.8K | $32.72 | 2.14x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 824 | $13.7K | $16.61 | 1.44x |
| 89060 | Crystal identification from tissue or body fluid | 793 | $5.8K | $7.35 | 3.13x |
| 87101 | Fungal culture (mold or yeast) of skin, hair, or nail | 11 | $84.81 | $7.71 | 3.11x |
This provider submits charges 1.6 times higher than what Medicare actually pays.
A markup ratio of 1.6x means for every $100 Medicare pays, this provider initially charges $160. 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 Pathology providers in GA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Scott Acker, MD | Alpharetta, GA | $50.6M | ✓ 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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