This provider's $70.2M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 2065% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 469% 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 |
|---|---|---|---|---|---|---|---|
| 2016 | $125.96 | $41.55 | 3.03x | $84.41 | $650.9K | 15.7K | 11 |
| 2017 | $127.91 | $39.42 | 3.24x | $88.49 | $3.7M | 94.0K | 20 |
| 2018 | $94.41 | $38.39 | 2.46x | $56.02 | $6.2M | 160.4K | 25 |
| 2019 | $86.86 | $39.15 | 2.22x | $47.71 | $8.9M | 226.6K | 27 |
| 2020 | $100.60 | $43.81 | 2.30x | $56.79 | $11.4M | 260.8K | 28 |
| 2021 | $91.98 | $41.14 | 2.24x | $50.84 | $12.8M | 310.1K | 22 |
| 2022 | $84.49 | $37.68 | 2.24x | $46.81 | $12.5M | 331.6K | 31 |
| 2023 | $81.54 | $36.10 | 2.26x | $45.44 | $14.1M | 390.3K | 35 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 479.8K | $14.9M | $30.99 | 2.66x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 277.7K | $14.3M | $51.59 | 2.44x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 114.5K | $8.4M | $73.29 | 2.37x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 269.1K | $6.4M | $23.95 | 2.54x |
| 88356 | Microscopic genetic analysis of nerve tissue | 20.0K | $3.5M | $173.68 | 2.89x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 78.4K | $2.7M | $34.65 | 1.70x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 86.9K | $2.4M | $27.06 | 2.51x |
| 87551 | Detection test by nucleic acid for mycobacteria species (bacteria), amplified probe technique | 38.8K | $1.8M | $47.50 | 1.25x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 44.8K | $1.6M | $35.00 | 1.73x |
| 88314 | Special stained specimen slides to examine tissue and frozen preparation of specimen including interpretation and report | 21.6K | $1.5M | $68.23 | 1.97x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 25.5K | $1.5M | $57.43 | 2.14x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 38.8K | $1.4M | $35.00 | 1.70x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 38.7K | $1.4M | $35.02 | 1.70x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 38.6K | $1.4M | $35.02 | 1.69x |
| 87641 | Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique | 38.6K | $1.4M | $35.02 | 1.70x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 38.1K | $1.3M | $34.91 | 1.66x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 87.0K | $1.3M | $14.55 | 2.48x |
| 87471 | Detection by nucleic acid bartonella henselae and bartonella quintana (bacteria), amplified probe technique | 33.1K | $1.2M | $34.98 | 1.68x |
| 87507 | Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets | 1.4K | $581.7K | $426.49 | 2.20x |
| 87506 | Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 6-11 targets | 2.1K | $543.8K | $257.34 | 2.04x |
This provider submits charges 2.33 times higher than what Medicare actually pays.
A markup ratio of 2.33x means for every $100 Medicare pays, this provider initially charges $233. 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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