This provider's $14.6M in total Medicare payments ranks in the 93th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 459% from 2019 to 2023.
90% 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.
Notable: Payments increased 169% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $145.14 | $61.51 | 2.36x | $83.63 | $765.0K | 12.4K | 6 |
| 2020 | $143.29 | $63.10 | 2.27x | $80.19 | $2.1M | 32.6K | 10 |
| 2021 | $141.47 | $61.33 | 2.31x | $80.14 | $3.3M | 53.8K | 9 |
| 2022 | $159.08 | $63.16 | 2.52x | $95.92 | $4.2M | 67.2K | 11 |
| 2023 | $161.43 | $62.08 | 2.60x | $99.35 | $4.3M | 68.8K | 11 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 215.6K | $13.2M | $61.06 | 2.51x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 3.1K | $310.4K | $101.42 | 1.57x |
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 2.9K | $302.7K | $105.03 | 1.68x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 6.8K | $257.0K | $37.58 | 3.00x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 2.7K | $212.8K | $79.01 | 1.98x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 2.0K | $175.2K | $88.36 | 1.75x |
| 88346 | Antibody evaluation, initial single antibody stain procedure | 718 | $97.8K | $136.19 | 1.47x |
| 88365 | Genetic sequencing localization, initial procedure | 229 | $38.1K | $166.55 | 1.84x |
| 88321 | Surgical pathology consultation and report on referred slides prepared elsewhere | 380 | $34.0K | $89.57 | 2.64x |
| 88364 | Genetic sequencing localization, each additional procedure | 223 | $28.3K | $126.73 | 2.42x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 248 | $19.2K | $77.30 | 2.11x |
| 88300 | Pathology examination of tissue using a microscope, limited examination | 46 | $669.69 | $14.56 | 2.39x |
This provider submits charges 2.45 times higher than what Medicare actually pays.
A markup ratio of 2.45x means for every $100 Medicare pays, this provider initially charges $245. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Northwell Health Laboratories | New Hyde Park, NY | $299.4M | ⚠️ Flagged |
| Sunrise Medical Laboratories, Inc. | Hicksville, NY | $281.2M | ⚠️ Flagged |
| Lenco Diagnostic Laboratories,inc. | Brooklyn, NY | $101.5M | ⚠️ Flagged |
| Enzo Clinical Labs, Inc. | Farmingdale, NY | $100.1M | ⚠️ Flagged |
| Cblpath, Inc | Rye Brook, NY | $94.4M | ✓ 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