This provider's $11.2M in total Medicare payments ranks in the 91th percentile of Clinical Laboratory providers nationally.
61% of their billing comes from a single procedure code (88305 — Pathology examination of tissue using a microscope, intermediate complexity).
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 | $179.82 | $67.18 | 2.68x | $112.64 | $990.7K | 24.2K | 19.3K |
| 2015 | $174.09 | $67.80 | 2.57x | $106.29 | $973.1K | 19.8K | 16.1K |
| 2016 | $201.62 | $69.54 | 2.90x | $132.08 | $1.3M | 26.0K | 20.2K |
| 2017 | $177.85 | $63.25 | 2.81x | $114.60 | $1.2M | 27.4K | 21.5K |
| 2018 | $172.40 | $61.10 | 2.82x | $111.30 | $1.2M | 28.8K | 22.3K |
| 2019 | $267.65 | $76.83 | 3.48x | $190.82 | $1.1M | 26.3K | 20.6K |
| 2020 | $261.58 | $73.64 | 3.55x | $187.94 | $838.4K | 19.6K | 15.7K |
| 2021 | $201.88 | $61.95 | 3.26x | $139.93 | $1.1M | 24.8K | 19.7K |
| 2022 | $296.83 | $99.29 | 2.99x | $197.54 | $1.3M | 27.1K | 21.1K |
| 2023 | $298.49 | $99.93 | 2.99x | $198.56 | $1.2M | 26.2K | 20.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 184.9K | $6.7M | $36.48 | 4.63x |
| 88342 | Tissue or cell analysis by immunologic technique | 18.3K | $1.5M | $82.16 | 2.94x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 12.4K | $927.8K | $74.68 | 2.74x |
| 88341 | Special stained specimen slides to examine tissue | 6.7K | $489.2K | $73.48 | 3.00x |
| 88321 | Surgical pathology consultation and report | 4.1K | $312.9K | $76.62 | 2.68x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 9.6K | $252.6K | $26.25 | 4.55x |
| 88189 | Flow cytometry technique for DNA or cell analysis | 1.4K | $119.2K | $82.80 | 2.88x |
| 88346 | Antibody evaluation | 1.2K | $114.0K | $94.72 | 2.76x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 1.9K | $109.7K | $57.51 | 3.09x |
| 88323 | Surgical pathology consultation and report | 776 | $73.8K | $95.14 | 3.18x |
| 88350 | Antibody evaluation | 947 | $73.2K | $77.34 | 2.87x |
| 88108 | Cell examination of specimen | 1.8K | $73.2K | $39.61 | 3.18x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 1.2K | $68.0K | $56.60 | 2.71x |
| 88184 | Flow cytometry technique for DNA or cell analysis | 504 | $35.0K | $69.44 | 2.26x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 275 | $34.5K | $125.53 | 2.42x |
| 88360 | Microscopic genetic analysis of tumor | 341 | $33.3K | $97.61 | 2.91x |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 218 | $29.8K | $136.58 | 3.29x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 77 | $26.5K | $344.73 | 3.86x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 519 | $21.5K | $41.47 | 3.53x |
| 88185 | Flow cytometry technique for DNA or cell analysis | 498 | $20.7K | $41.58 | 2.22x |
This provider submits charges 3.97 times higher than what Medicare actually pays.
A markup ratio of 3.97x means for every $100 Medicare pays, this provider initially charges $397. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Llc Il | Wood Dale, IL | $446.2M | ⚠️ Flagged |
| Tempus Ai, Inc. | Chicago, IL | $213.4M | ⚠️ Flagged |
| Chicago Clinical Laboratories, Ltd | Northbrook, IL | $66.5M | ⚠️ Flagged |
| Lifescan Labs Of Illinois, Llc | Skokie, IL | $61.6M | ✓ Clear |
| Chicago Care Lab Services Llc | Chicago, IL | $56.7M | ⚠️ Flagged |
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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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