This provider's $4.6M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Medicare payments to this provider grew 132% from 2014 to 2023.
76% of their billing comes from a single procedure code (88305 — Pathology examination of tissue using a microscope, intermediate complexity).
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $101.51 | $49.01 | 2.07x | $52.50 | $271.6K | 5.5K | 4.2K |
| 2015 | $100.46 | $48.23 | 2.08x | $52.23 | $347.6K | 6.8K | 5.0K |
| 2016 | $120.35 | $64.75 | 1.86x | $55.60 | $408.4K | 7.5K | 5.6K |
| 2017 | $132.85 | $75.27 | 1.76x | $57.58 | $446.4K | 8.6K | 6.2K |
| 2018 | $136.18 | $71.91 | 1.89x | $64.27 | $496.0K | 9.6K | 6.9K |
| 2019 | $129.24 | $54.01 | 2.39x | $75.23 | $461.7K | 8.7K | 6.4K |
| 2020 | $135.69 | $54.91 | 2.47x | $80.78 | $468.3K | 7.9K | 5.6K |
| 2021 | $125.33 | $53.88 | 2.33x | $71.45 | $546.9K | 9.0K | 6.6K |
| 2022 | $136.58 | $56.27 | 2.43x | $80.31 | $558.5K | 9.3K | 6.8K |
| 2023 | $147.28 | $60.09 | 2.45x | $87.19 | $630.0K | 10.4K | 7.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 65.9K | $3.5M | $53.55 | 2.83x |
| 88342 | Tissue or cell analysis by immunologic technique | 3.4K | $291.1K | $84.58 | 2.29x |
| 88341 | Special stained specimen slides to examine tissue | 2.9K | $212.2K | $73.28 | 2.41x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 1.8K | $156.3K | $85.70 | 2.22x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 4.4K | $140.9K | $31.96 | 2.70x |
| 88346 | Antibody evaluation | 655 | $63.8K | $97.47 | 1.90x |
| 88350 | Antibody evaluation | 544 | $40.8K | $74.92 | 2.01x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 589 | $36.7K | $62.34 | 2.25x |
| 88323 | Surgical pathology consultation and report | 290 | $30.2K | $104.13 | 2.17x |
| G0452 | Molecular pathology procedure; physician interpretation and report | 834 | $22.5K | $26.93 | 1.89x |
| 81235 | Gene analysis (epidermal growth factor receptor), common variants | 68 | $18.6K | $274.21 | 1.04x |
| 88321 | Surgical pathology consultation and report | 240 | $18.1K | $75.34 | 1.73x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 217 | $15.3K | $70.35 | 2.11x |
| 88381 | Preparation of specimen, manual | 153 | $14.4K | $93.97 | 2.32x |
| G0476 | Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test | 241 | $11.0K | $45.66 | 1.40x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 128 | $9.8K | $76.20 | 2.02x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 93 | $5.6K | $60.08 | 1.76x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 391 | $4.0K | $10.34 | 2.24x |
| 88363 | Microscopic genetic analysis of tissue | 156 | $3.0K | $19.27 | 4.15x |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 20 | $3.0K | $150.27 | 2.60x |
This provider submits charges 2.7 times higher than what Medicare actually pays.
A markup ratio of 2.7x means for every $100 Medicare pays, this provider initially charges $270. This is higher than the national average.
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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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