This provider averages 51 services per working day
Based on 89.6K total services over 7 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.9M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 51 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 130% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 213% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $364.38 | $110.51 | 3.30x | $253.87 | $489.7K | 5.1K | 4.8K |
| 2018 | $469.03 | $135.18 | 3.47x | $333.85 | $1.5M | 16.3K | 14.9K |
| 2019 | $290.96 | $83.47 | 3.49x | $207.49 | $1.8M | 19.5K | 17.4K |
| 2020 | $358.59 | $117.05 | 3.06x | $241.54 | $931.9K | 11.1K | 9.9K |
| 2021 | $287.21 | $91.66 | 3.13x | $195.55 | $1.0M | 12.3K | 10.9K |
| 2022 | $287.12 | $90.77 | 3.16x | $196.35 | $962.7K | 11.7K | 10.2K |
| 2023 | $301.39 | $95.09 | 3.17x | $206.30 | $1.1M | 13.8K | 12.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 7.2K | $1.9M | $266.62 | 5.88x |
| 88120 | Cell examination of urine | 4.4K | $1.9M | $431.33 | 2.49x |
| 88112 | Cell examination of specimen | 32.6K | $1.4M | $44.34 | 3.44x |
| 88342 | Tissue or cell analysis by immunologic technique | 18.5K | $1.4M | $74.71 | 3.31x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 21.2K | $952.9K | $44.86 | 3.14x |
| 88377 | Microscopic genetic examination manual | 398 | $117.7K | $295.74 | 1.86x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2.2K | $93.3K | $42.46 | 6.22x |
| 88344 | Special stained specimen slides to examine tissue | 158 | $19.5K | $123.60 | 3.20x |
| 88346 | Antibody evaluation | 181 | $15.9K | $87.69 | 2.33x |
| 88350 | Antibody evaluation | 187 | $12.3K | $65.79 | 2.43x |
| 88341 | Special stained specimen slides to examine tissue | 162 | $10.5K | $64.69 | 3.75x |
| 88321 | Surgical pathology consultation and report | 89 | $6.7K | $75.03 | 3.31x |
| 82232 | Beta-2 microglobulin (protein) level | 384 | $6.4K | $16.58 | 3.62x |
| 88108 | Cell examination of specimen | 138 | $5.9K | $43.05 | 2.11x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 15 | $3.2K | $210.12 | 2.47x |
| 88300 | Pathology examination of tissue using a microscope, limited examination | 202 | $2.0K | $10.10 | 3.52x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 384 | $2.0K | $5.31 | 4.90x |
| 82043 | Urine microalbumin (protein) level | 384 | $2.0K | $5.26 | 5.51x |
| 84156 | Total protein level, urine | 382 | $1.4K | $3.76 | 5.05x |
| 81003 | Automated urinalysis test | 381 | $876.83 | $2.30 | 6.95x |
This provider submits charges 3.76 times higher than what Medicare actually pays.
A markup ratio of 3.76x means for every $100 Medicare pays, this provider initially charges $376. 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 Pathology providers in TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Richard Kinsey, MD | Memphis, TN | $40.6M | ✓ Clear |
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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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