This provider's $9.9M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Medicare payments to this provider grew 14477% from 2014 to 2023.
65% of their billing comes from a single procedure code (Q0508 — Miscellaneous supply or accessory for use with an implanted ventricular assist device).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1665% in 2018
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 | $130.87 | $38.33 | 3.41x | $92.54 | $18.3K | 577 | 532 |
| 2015 | $132.53 | $27.44 | 4.83x | $105.09 | $12.3K | 430 | 403 |
| 2016 | $132.53 | $27.94 | 4.74x | $104.59 | $14.5K | 537 | 497 |
| 2017 | $142.89 | $30.45 | 4.69x | $112.44 | $20.4K | 703 | 643 |
| 2018 | $388.18 | $253.64 | 1.53x | $134.54 | $359.2K | 617 | 278 |
| 2019 | $410.55 | $273.74 | 1.50x | $136.81 | $1.0M | 2.4K | 742 |
| 2020 | $399.69 | $267.66 | 1.49x | $132.03 | $1.8M | 4.8K | 989 |
| 2021 | $493.38 | $228.18 | 2.16x | $265.20 | $1.9M | 5.9K | 963 |
| 2022 | $505.49 | $364.92 | 1.39x | $140.57 | $2.1M | 5.1K | 809 |
| 2023 | $410.15 | $276.02 | 1.49x | $134.13 | $2.7M | 5.1K | 759 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q0508 | Miscellaneous supply or accessory for use with an implanted ventricular assist device | 9.8K | $6.4M | $651.71 | 1.28x |
| Q0509 | Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a | 3.4K | $3.0M | $876.62 | 1.27x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 9.5K | $414.8K | $43.86 | 3.93x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1.2K | $43.3K | $34.86 | 5.66x |
| Q0506 | Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only | 18 | $12.0K | $667.93 | 3.26x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 105 | $7.8K | $74.72 | 3.64x |
| 88342 | Tissue or cell analysis by immunologic technique | 226 | $7.4K | $32.71 | 3.73x |
| 99453 | Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment | 492 | $7.0K | $14.17 | 3.70x |
| 85060 | Blood smear interpretation by physician with written report | 267 | $6.0K | $22.30 | 2.69x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 380 | $4.3K | $11.30 | 3.10x |
| 88112 | Cell examination of specimen | 141 | $3.5K | $24.69 | 7.03x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 317 | $3.3K | $10.33 | 12.56x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 50 | $2.0K | $40.73 | 3.06x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 73 | $1.4K | $18.54 | 3.61x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 25 | $1.3K | $50.58 | 2.22x |
This provider submits charges 1.42 times higher than what Medicare actually pays.
A markup ratio of 1.42x means for every $100 Medicare pays, this provider initially charges $142. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jon Keller, MD | Palo Alto, CA | $61.6M | ✓ 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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