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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Raul Rudelli
๐Ÿ”ฌ
MDIndividual

Raul Rudelli, MD

NPI: 1124049671
West New York, NJ
10 years of data
Pathology
$16.0M
Total Payments
118.6K
Beneficiaries
178.4K
Services
1.82x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$16.0M
Specialty median$84.1K

๐Ÿ“‹ Key Findings

1Billed $16.0M over 10 years
21.82x markup ratio
399th percentile in Pathology by payments
471 services/day โ€” unusually high
53 procedures with >3x markup

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†’

๐Ÿ”Ž Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$234.54$80.522.91x$154.02$1.1M15.7K11.1K
2015$339.60$155.012.19x$184.59$1.3M14.5K10.4K
2016$316.10$141.182.24x$174.92$1.5M16.9K11.4K
2017$326.95$166.171.97x$160.78$1.4M15.0K10.1K
2018$287.80$134.002.15x$153.80$1.6M15.6K10.5K
2019$180.90$91.541.98x$89.36$1.5M12.0K6.8K
2020$141.20$83.201.70x$58.00$1.8M19.9K13.2K
2021$112.58$73.361.53x$39.22$2.3M25.4K15.7K
2022$110.14$64.311.71x$45.83$1.8M24.8K15.9K
2023$113.58$64.701.76x$48.88$1.6M18.7K13.5K

Top Procedures (20)

88120Cell examination of urine
$6.1M
10.3K services$586.85/svc1.30x markup
88121Cell examination of urine
$2.5M
7.2K services$338.91/svc1.31x markup
88112Cell examination of specimen
$2.1M
41.0K services$50.73/svc1.91x markup
88313Special stained specimen slides to examine tissue including interpretation and report
$1.9M
34.2K services$55.43/svc1.99x markup
88342Tissue or cell analysis by immunologic techniqueโš  6.5x markup
$467.3K
10.9K services$42.92/svc6.45x markup
88305Pathology examination of tissue using a microscope, intermediate complexityโš  5.4x markup
$425.7K
10.0K services$42.57/svc5.43x markup
88360Microscopic genetic analysis of tumor
$354.7K
3.5K services$100.10/svc1.66x markup
88312Special stained specimen slides to identify organisms including interpretation and reportโš  3.7x markup
$292.3K
4.8K services$61.08/svc3.66x markup
88341Special stained specimen slides to examine tissue
$228.7K
4.6K services$49.88/svc2.69x markup
87798Detection test for organism
$163.6K
4.7K services$34.83/svc1.03x markup
87640Detection test for Staphylococcus aureus (bacteria)
$158.2K
4.5K services$34.83/svc1.03x markup
87556Detection test for Mycobacteria tuberculosis (TB bacteria)
$144.4K
3.8K services$38.50/svc1.03x markup
87653Detection test for Strep (Streptococcus, group B)
$135.5K
3.9K services$34.78/svc1.03x markup
87481Detection test for candida species (yeast)
$135.4K
3.9K services$34.77/svc1.03x markup
87651Detection test for Strep (Streptococcus, group A)
$129.8K
3.7K services$34.77/svc1.03x markup
G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method
$99.4K
260 services$382.33/svc1.36x markup
88367Microscopic genetic analysis of tissue
$82.2K
361 services$227.62/svc2.60x markup
87500Detection test for Vancomycin resistance strep (VRE)
$57.6K
1.7K services$34.79/svc1.03x markup
84153Psa (prostate specific antigen) measurement, total
$55.5K
3.1K services$18.01/svc1.09x markup
87563Detection of mycoplasma genitalium by dna or rna probe
$51.5K
1.5K services$34.46/svc2.18x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
88120Cell examination of urine10.3K$6.1M$586.851.30x
88121Cell examination of urine7.2K$2.5M$338.911.31x
88112Cell examination of specimen41.0K$2.1M$50.731.91x
88313Special stained specimen slides to examine tissue including interpretation and report34.2K$1.9M$55.431.99x
88342Tissue or cell analysis by immunologic technique10.9K$467.3K$42.926.45x
88305Pathology examination of tissue using a microscope, intermediate complexity10.0K$425.7K$42.575.43x
88360Microscopic genetic analysis of tumor3.5K$354.7K$100.101.66x
88312Special stained specimen slides to identify organisms including interpretation and report4.8K$292.3K$61.083.66x
88341Special stained specimen slides to examine tissue4.6K$228.7K$49.882.69x
87798Detection test for organism4.7K$163.6K$34.831.03x
87640Detection test for Staphylococcus aureus (bacteria)4.5K$158.2K$34.831.03x
87556Detection test for Mycobacteria tuberculosis (TB bacteria)3.8K$144.4K$38.501.03x
87653Detection test for Strep (Streptococcus, group B)3.9K$135.5K$34.781.03x
87481Detection test for candida species (yeast)3.9K$135.4K$34.771.03x
87651Detection test for Strep (Streptococcus, group A)3.7K$129.8K$34.771.03x
G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method260$99.4K$382.331.36x
88367Microscopic genetic analysis of tissue361$82.2K$227.622.60x
87500Detection test for Vancomycin resistance strep (VRE)1.7K$57.6K$34.791.03x
84153Psa (prostate specific antigen) measurement, total3.1K$55.5K$18.011.09x
87563Detection of mycoplasma genitalium by dna or rna probe1.5K$51.5K$34.462.18x

Markup Analysis

Charge-to-Payment Ratio

1.82x

This provider submits charges 1.82 times higher than what Medicare actually pays.

What This Means

A markup ratio of 1.82x means for every $100 Medicare pays, this provider initially charges $182. This is lower than the national average.

Location

West New York, NJ

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Pathology providers in NJ for peer comparison.

Raul Rudelli (you)
$16.0M
Mohammad Qureshi
$49.3M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Mohammad QureshiEdison, NJ$49.3Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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