This provider averages 144 services per working day
Based on 359.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $30.3M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 144 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 52% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2896% in 2021
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 | $938.01 | $308.14 | 3.04x | $629.87 | $3.4M | 11.0K | 6 |
| 2015 | $1.2K | $304.32 | 3.80x | $852.66 | $3.1M | 10.1K | 4 |
| 2016 | $1.2K | $301.70 | 3.85x | $861.31 | $3.3M | 10.9K | 8 |
| 2017 | $625.85 | $162.97 | 3.84x | $462.88 | $2.7M | 16.3K | 9 |
| 2018 | $1.4K | $357.30 | 3.82x | $1.0K | $1.9M | 5.4K | 3 |
| 2019 | $1.5K | $370.29 | 4.04x | $1.1K | $882.0K | 2.4K | 2 |
| 2020 | $1.9K | $457.22 | 4.15x | $1.4K | $106.5K | 233 | 2 |
| 2021 | $164.33 | $54.07 | 3.04x | $110.26 | $3.2M | 59.0K | 6 |
| 2022 | $150.78 | $49.08 | 3.07x | $101.70 | $6.6M | 134.8K | 5 |
| 2023 | $145.86 | $47.18 | 3.09x | $98.68 | $5.2M | 109.3K | 9 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88120 | Cell examination of urine, manual | 16.6K | $9.8M | $589.72 | 3.69x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 121.3K | $4.2M | $34.55 | 3.05x |
| 88121 | Cell examination of urine | 8.1K | $4.2M | $513.39 | 3.57x |
| 87150 | Identification of organisms by genetic analysis, amplified probe technique | 111.3K | $3.8M | $34.56 | 3.05x |
| 81162 | Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants | 1.8K | $3.2M | $1.8K | 3.04x |
| 88112 | Cell examination of specimen | 21.6K | $1.3M | $60.42 | 3.90x |
| 81307 | Gene analysis (partner and localizer of brca2) full sequence analysis | 1.8K | $1.2M | $667.42 | 3.04x |
| G0452 | Molecular pathology procedure; physician interpretation and report | 11.0K | $453.4K | $41.19 | 3.87x |
| 87556 | Detection test by nucleic acid for mycobacteria tuberculosis (tb bacteria), amplified probe technique | 9.3K | $380.7K | $41.03 | 3.05x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 9.3K | $320.6K | $34.55 | 3.05x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 9.3K | $320.5K | $34.54 | 3.05x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 9.3K | $320.5K | $34.54 | 3.05x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 9.3K | $320.5K | $34.54 | 3.05x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 9.3K | $320.4K | $34.54 | 3.05x |
| 87086 | Bacterial colony count, urine | 4.4K | $47.5K | $10.83 | 3.06x |
| 81408 | Molecular pathology procedure level 9 | 11 | $21.6K | $2.0K | 3.06x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) | 2.4K | $19.1K | $7.81 | 3.32x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method, 10-20 specimens | 27 | $16.4K | $606.25 | 3.83x |
| 87077 | Bacterial culture for aerobic isolates | 1.3K | $14.5K | $10.84 | 3.06x |
| 87088 | Bacterial urine culture | 1.3K | $14.4K | $10.85 | 3.10x |
This provider submits charges 3.37 times higher than what Medicare actually pays.
A markup ratio of 3.37x means for every $100 Medicare pays, this provider initially charges $337. This is higher than the national average.
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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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