This provider averages 71 services per working day
Based on 178.4K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $16.0M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 71 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 50% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $234.54 | $80.52 | 2.91x | $154.02 | $1.1M | 15.7K | 11.1K |
| 2015 | $339.60 | $155.01 | 2.19x | $184.59 | $1.3M | 14.5K | 10.4K |
| 2016 | $316.10 | $141.18 | 2.24x | $174.92 | $1.5M | 16.9K | 11.4K |
| 2017 | $326.95 | $166.17 | 1.97x | $160.78 | $1.4M | 15.0K | 10.1K |
| 2018 | $287.80 | $134.00 | 2.15x | $153.80 | $1.6M | 15.6K | 10.5K |
| 2019 | $180.90 | $91.54 | 1.98x | $89.36 | $1.5M | 12.0K | 6.8K |
| 2020 | $141.20 | $83.20 | 1.70x | $58.00 | $1.8M | 19.9K | 13.2K |
| 2021 | $112.58 | $73.36 | 1.53x | $39.22 | $2.3M | 25.4K | 15.7K |
| 2022 | $110.14 | $64.31 | 1.71x | $45.83 | $1.8M | 24.8K | 15.9K |
| 2023 | $113.58 | $64.70 | 1.76x | $48.88 | $1.6M | 18.7K | 13.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88120 | Cell examination of urine | 10.3K | $6.1M | $586.85 | 1.30x |
| 88121 | Cell examination of urine | 7.2K | $2.5M | $338.91 | 1.31x |
| 88112 | Cell examination of specimen | 41.0K | $2.1M | $50.73 | 1.91x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 34.2K | $1.9M | $55.43 | 1.99x |
| 88342 | Tissue or cell analysis by immunologic technique | 10.9K | $467.3K | $42.92 | 6.45x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 10.0K | $425.7K | $42.57 | 5.43x |
| 88360 | Microscopic genetic analysis of tumor | 3.5K | $354.7K | $100.10 | 1.66x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 4.8K | $292.3K | $61.08 | 3.66x |
| 88341 | Special stained specimen slides to examine tissue | 4.6K | $228.7K | $49.88 | 2.69x |
| 87798 | Detection test for organism | 4.7K | $163.6K | $34.83 | 1.03x |
| 87640 | Detection test for Staphylococcus aureus (bacteria) | 4.5K | $158.2K | $34.83 | 1.03x |
| 87556 | Detection test for Mycobacteria tuberculosis (TB bacteria) | 3.8K | $144.4K | $38.50 | 1.03x |
| 87653 | Detection test for Strep (Streptococcus, group B) | 3.9K | $135.5K | $34.78 | 1.03x |
| 87481 | Detection test for candida species (yeast) | 3.9K | $135.4K | $34.77 | 1.03x |
| 87651 | Detection test for Strep (Streptococcus, group A) | 3.7K | $129.8K | $34.77 | 1.03x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 260 | $99.4K | $382.33 | 1.36x |
| 88367 | Microscopic genetic analysis of tissue | 361 | $82.2K | $227.62 | 2.60x |
| 87500 | Detection test for Vancomycin resistance strep (VRE) | 1.7K | $57.6K | $34.79 | 1.03x |
| 84153 | Psa (prostate specific antigen) measurement, total | 3.1K | $55.5K | $18.01 | 1.09x |
| 87563 | Detection of mycoplasma genitalium by dna or rna probe | 1.5K | $51.5K | $34.46 | 2.18x |
This provider submits charges 1.82 times higher than what Medicare actually pays.
A markup ratio of 1.82x means for every $100 Medicare pays, this provider initially charges $182. This is lower 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 NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Mohammad Qureshi | Edison, NJ | $49.3M | โ 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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