This provider's $7.0M in total Medicare payments ranks in the 86th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 114% 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $159.64 | $63.12 | 2.53x | $96.52 | $473.1K | 8.0K | 7.2K |
| 2015 | $167.48 | $66.47 | 2.52x | $101.01 | $446.1K | 7.3K | 6.7K |
| 2016 | $163.44 | $66.62 | 2.45x | $96.82 | $411.7K | 6.7K | 6.2K |
| 2017 | $264.27 | $64.33 | 4.11x | $199.94 | $469.5K | 7.9K | 7.4K |
| 2018 | $288.14 | $74.46 | 3.87x | $213.68 | $683.2K | 11.3K | 10.6K |
| 2019 | $329.38 | $76.50 | 4.31x | $252.88 | $910.7K | 14.9K | 14.1K |
| 2020 | $316.89 | $78.10 | 4.06x | $238.79 | $768.0K | 12.0K | 11.5K |
| 2021 | $337.25 | $80.07 | 4.21x | $257.18 | $931.2K | 14.2K | 13.6K |
| 2022 | $332.50 | $79.96 | 4.16x | $252.54 | $921.0K | 14.2K | 13.6K |
| 2023 | $344.07 | $79.01 | 4.35x | $265.06 | $1.0M | 15.8K | 14.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 35.0K | $3.4M | $98.34 | 3.40x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 42.9K | $2.6M | $61.75 | 4.16x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 28.5K | $547.8K | $19.23 | 3.83x |
| 88342 | Tissue or cell analysis by immunologic technique | 1.7K | $163.7K | $95.33 | 3.62x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 2.2K | $81.5K | $37.20 | 3.64x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 367 | $52.5K | $143.15 | 3.41x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 489 | $35.3K | $72.24 | 3.35x |
| 88356 | Microscopic genetic analysis of nerve tissue | 93 | $20.3K | $218.09 | 5.01x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 30 | $8.2K | $273.08 | 3.68x |
| 88346 | Antibody evaluation | 35 | $3.5K | $99.26 | 2.49x |
| 89060 | Crystal identification from tissue or body fluid | 426 | $3.4K | $7.91 | 13.43x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 36 | $2.8K | $77.39 | 3.81x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 71 | $2.4K | $34.39 | 2.55x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 71 | $2.4K | $34.39 | 2.55x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 71 | $2.4K | $34.39 | 2.55x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 71 | $2.4K | $34.39 | 2.55x |
| 88321 | Surgical pathology consultation and report | 29 | $2.4K | $83.12 | 4.30x |
| 88300 | Pathology examination of tissue using a microscope, limited examination | 139 | $2.0K | $14.44 | 4.19x |
This provider submits charges 3.74 times higher than what Medicare actually pays.
A markup ratio of 3.74x means for every $100 Medicare pays, this provider initially charges $374. 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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