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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Robert Aportela
๐Ÿ”ฌ
MDIndividual

Robert Aportela, MD

NPI: 1053308593
Delray Beach, FL
10 years of data
Pathology
$8.7M
Total Payments
137.1K
Beneficiaries
142.8K
Services
4.2x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$8.7M
Specialty median$84.1K

๐Ÿ“‹ Key Findings

1Billed $8.7M over 10 years
24.2x markup ratio (above median)
399th percentile in Pathology by payments
457 services/day โ€” unusually high
5Payments surged 84% in 2018
67 procedures with >3x markup

This provider averages 57 services per working day

Based on 142.8K total services over 10 years (250 working days/year). Learn about impossible service volumes โ†’

๐Ÿ”Ž Data Analysis

This provider's $8.7M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.

Averaging 57 services per working day raises questions about billing patterns.

Medicare payments to this provider grew 60% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 84% in 2018

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$200.70$61.433.27x$139.27$684.5K11.2K10.5K
2015$150.42$49.333.05x$101.09$610.1K9.7K9.1K
2016$204.80$64.003.20x$140.80$512.2K7.9K7.5K
2017$203.26$63.753.19x$139.51$451.4K7.2K6.8K
2018$142.72$44.273.22x$98.45$832.5K15.3K15.0K
2019$389.91$100.263.89x$289.65$987.2K17.3K16.7K
2020$378.48$95.103.98x$283.38$1.0M17.1K16.4K
2021$380.89$102.003.73x$278.89$1.3M20.4K19.6K
2022$378.50$99.233.81x$279.27$1.2M19.1K18.5K
2023$378.50$88.024.30x$290.48$1.1M17.5K17.0K

Top Procedures (9)

88305Pathology examination of tissue using a microscope, intermediate complexityโš  5.3x markup
$4.0M
75.4K services$53.49/svc5.30x markup
88312Special stained specimen slides to identify organisms including interpretation and reportโš  3.2x markup
$2.7M
33.1K services$80.08/svc3.18x markup
88313Special stained specimen slides to examine tissue including interpretation and reportโš  3.3x markup
$1.9M
33.7K services$57.16/svc3.31x markup
88307Pathology examination of tissue using a microscope, moderately high complexityโš  3.8x markup
$35.1K
165 services$212.69/svc3.75x markup
88173Evaluation of fine needle aspirate with interpretation and reportโš  4.0x markup
$18.5K
148 services$125.24/svc3.99x markup
88108Cell examination of specimenโš  3.4x markup
$9.3K
184 services$50.67/svc3.42x markup
88104Cell examination of body fluidโš  3.5x markup
$3.3K
55 services$60.82/svc3.45x markup
88304Pathology examination of tissue using a microscope, moderately low complexity
$1.4K
41 services$33.50/svc2.69x markup
88300Pathology examination of tissue using a microscope, limited examination
$46.08
12 services$3.84/svc2.60x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
88305Pathology examination of tissue using a microscope, intermediate complexity75.4K$4.0M$53.495.30x
88312Special stained specimen slides to identify organisms including interpretation and report33.1K$2.7M$80.083.18x
88313Special stained specimen slides to examine tissue including interpretation and report33.7K$1.9M$57.163.31x
88307Pathology examination of tissue using a microscope, moderately high complexity165$35.1K$212.693.75x
88173Evaluation of fine needle aspirate with interpretation and report148$18.5K$125.243.99x
88108Cell examination of specimen184$9.3K$50.673.42x
88104Cell examination of body fluid55$3.3K$60.823.45x
88304Pathology examination of tissue using a microscope, moderately low complexity41$1.4K$33.502.69x
88300Pathology examination of tissue using a microscope, limited examination12$46.08$3.842.60x

Markup Analysis

Charge-to-Payment Ratio

4.2x

This provider submits charges 4.2 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.2x means for every $100 Medicare pays, this provider initially charges $420. This is higher than the national average.

Location

Delray Beach, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Pathology providers in FL for peer comparison.

Robert Aportela (you)
$8.7M
Ryan Olson, MDโš ๏ธ
$54.3M
Wilfredo Blasini, M.D.โš ๏ธ
$35.8M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Ryan Olson, MDFort Myers, FL$54.3Mโš ๏ธ Flagged
Wilfredo Blasini, M.D.Fort Myers, FL$35.8Mโš ๏ธ Flagged

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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