This provider's $10.0M in total Medicare payments ranks in the 90th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 24606% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 13561% 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 | $132.41 | $32.00 | 4.14x | $100.41 | $30.0K | 936 | 3 |
| 2015 | $152.21 | $41.96 | 3.63x | $110.25 | $149.0K | 3.5K | 7 |
| 2016 | $126.24 | $38.75 | 3.26x | $87.49 | $205.7K | 5.3K | 6 |
| 2017 | $131.18 | $38.20 | 3.43x | $92.98 | $227.1K | 5.9K | 7 |
| 2018 | $125.61 | $37.92 | 3.31x | $87.69 | $244.6K | 6.5K | 6 |
| 2019 | $162.07 | $42.20 | 3.84x | $119.87 | $78.9K | 1.9K | 6 |
| 2020 | $185.58 | $48.24 | 3.85x | $137.34 | $74.1K | 1.5K | 6 |
| 2021 | $135.99 | $32.56 | 4.18x | $103.43 | $11.8K | 363 | 2 |
| 2022 | $76.80 | $37.44 | 2.05x | $39.36 | $1.6M | 43.1K | 5 |
| 2023 | $69.65 | $33.88 | 2.06x | $35.77 | $7.4M | 218.4K | 17 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 102.2K | $3.5M | $34.37 | 2.04x |
| 87150 | Identification of organisms by genetic analysis, amplified probe technique | 83.9K | $2.9M | $34.36 | 2.07x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 30.6K | $1.1M | $34.37 | 2.07x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 17.1K | $506.9K | $29.56 | 3.59x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 4.5K | $308.1K | $68.78 | 2.05x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 7.9K | $270.3K | $34.37 | 2.07x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 7.9K | $270.2K | $34.37 | 2.04x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 7.9K | $270.0K | $34.37 | 2.04x |
| 87641 | Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique | 7.9K | $270.0K | $34.36 | 2.04x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 3.7K | $225.8K | $61.04 | 3.15x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 4.0K | $201.1K | $50.16 | 3.45x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 1.9K | $63.7K | $34.39 | 2.04x |
| 87563 | Detection of mycoplasma genitalium by dna or rna probe | 1.9K | $63.6K | $34.39 | 2.04x |
| 87184 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) | 4.7K | $34.7K | $7.32 | 2.05x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 68 | $27.8K | $408.93 | 4.24x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 505 | $27.1K | $53.63 | 3.31x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 306 | $20.1K | $65.57 | 3.60x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 172 | $8.6K | $49.94 | 5.23x |
| 88344 | Special stained specimen slides to examine tissue | 51 | $5.9K | $116.54 | 3.24x |
| 87591 | Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique | 87 | $2.9K | $33.71 | 2.08x |
This provider submits charges 2.2 times higher than what Medicare actually pays.
A markup ratio of 2.2x means for every $100 Medicare pays, this provider initially charges $220. 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 Clinical Laboratory providers in PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Clinical Laboratories Inc | Norristown, PA | $340.6M | ✓ Clear |
| Quest Diagnostics Of Pennsylvania, Inc. | Pittsburgh, PA | $130.4M | ⚠️ Flagged |
| Health Network Laboratories, Llc | Allentown, PA | $125.3M | ⚠️ Flagged |
| Sma Medical, Inc. | Feasterville, PA | $100.9M | ✓ Clear |
| Interpace Diagnostics Corporation | Pittsburgh, PA | $95.6M | ✓ Clear |
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.
Believe this data is inaccurate? Dispute this data