This provider's $3.7M in total Medicare payments ranks in the 74th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 7.6x is significantly above the specialty median of 3.7x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 177% in 2016
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 | $449.51 | $58.80 | 7.64x | $390.71 | $238.8K | 3.4K | 3.0K |
| 2015 | $468.48 | $68.55 | 6.83x | $399.93 | $205.7K | 3.1K | 2.8K |
| 2016 | $720.82 | $125.22 | 5.76x | $595.60 | $570.1K | 5.7K | 5.2K |
| 2017 | $698.09 | $108.89 | 6.41x | $589.20 | $369.8K | 4.7K | 4.3K |
| 2018 | $778.80 | $101.31 | 7.69x | $677.49 | $375.5K | 5.6K | 5.3K |
| 2019 | $607.89 | $58.27 | 10.43x | $549.62 | $388.4K | 5.9K | 5.5K |
| 2020 | $539.84 | $67.81 | 7.96x | $472.03 | $400.0K | 6.1K | 5.5K |
| 2021 | $429.41 | $57.16 | 7.51x | $372.25 | $521.2K | 9.5K | 7.7K |
| 2022 | $439.87 | $52.16 | 8.43x | $387.71 | $366.7K | 6.6K | 4.8K |
| 2023 | $557.25 | $84.99 | 6.56x | $472.26 | $265.1K | 3.9K | 3.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 13.0K | $1.1M | $82.99 | 7.37x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 13.8K | $657.7K | $47.66 | 12.60x |
| 88342 | Tissue or cell analysis by immunologic technique | 8.0K | $645.2K | $80.81 | 8.34x |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 4.6K | $379.3K | $82.88 | 1.21x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 5.9K | $368.7K | $62.61 | 10.24x |
| 88120 | Cell examination of urine | 514 | $274.2K | $533.48 | 1.59x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 3.9K | $91.6K | $23.41 | 1.28x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 970 | $77.1K | $79.43 | 5.95x |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within | 2.8K | $69.7K | $24.92 | 1.40x |
| 88112 | Cell examination of specimen | 789 | $33.3K | $42.21 | 28.21x |
| 88377 | Microscopic genetic examination manual | 50 | $17.4K | $347.83 | 4.31x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 193 | $3.5K | $18.13 | 30.22x |
| 88360 | Microscopic genetic analysis of tumor | 21 | $2.4K | $113.48 | 8.26x |
| 88341 | Special stained specimen slides to examine tissue | 33 | $2.3K | $69.17 | 8.18x |
| 87070 | Bacterial culture | 15 | $173.70 | $11.58 | 36.92x |
This provider submits charges 7.6 times higher than what Medicare actually pays.
A markup ratio of 7.6x means for every $100 Medicare pays, this provider initially charges $760. 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 |
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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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