This provider's $32.5M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $133.99 | $60.14 | 2.23x | $73.85 | $3.6M | 60.2K | 34 |
| 2015 | $133.71 | $62.19 | 2.15x | $71.52 | $4.1M | 65.3K | 33 |
| 2016 | $135.99 | $61.39 | 2.22x | $74.60 | $4.0M | 65.5K | 30 |
| 2017 | $134.61 | $55.97 | 2.41x | $78.64 | $3.6M | 65.1K | 28 |
| 2018 | $135.87 | $54.53 | 2.49x | $81.34 | $3.1M | 57.6K | 28 |
| 2019 | $140.54 | $54.54 | 2.58x | $86.00 | $3.5M | 63.4K | 37 |
| 2020 | $141.84 | $52.44 | 2.70x | $89.40 | $2.1M | 39.8K | 29 |
| 2021 | $116.22 | $39.88 | 2.91x | $76.34 | $2.9M | 73.9K | 27 |
| 2022 | $118.82 | $38.46 | 3.09x | $80.36 | $2.6M | 67.6K | 26 |
| 2023 | $109.20 | $34.33 | 3.18x | $74.87 | $2.9M | 85.1K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 155.3K | $8.8M | $56.61 | 2.82x |
| 88185 | Flow cytometry technique for dna or cell analysis, each additional marker | 256.7K | $7.1M | $27.67 | 2.55x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 55.1K | $4.6M | $84.03 | 1.70x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 46.3K | $2.8M | $59.98 | 1.83x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 28.2K | $2.1M | $74.84 | 1.84x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 11.6K | $937.9K | $80.53 | 1.67x |
| 88189 | Flow cytometry technique for dna or cell analysis, 16 or more markers | 11.7K | $891.1K | $76.46 | 3.92x |
| 88184 | Flow cytometry technique for dna or cell analysis, first marker | 11.3K | $720.8K | $63.84 | 2.55x |
| 88237 | Tissue culture for tumor disorders of bone marrow and blood cells | 4.2K | $657.4K | $156.74 | 2.36x |
| 88271 | Dna testing for genetic defects | 23.3K | $572.3K | $24.56 | 4.68x |
| 88275 | Chromosome analysis for genetic defects, analyze 100-300 cells | 12.6K | $529.0K | $42.00 | 10.94x |
| 88262 | Chromosome analysis for genetic defects | 2.6K | $415.0K | $159.92 | 2.10x |
| 88365 | Genetic sequencing localization, initial procedure | 2.0K | $296.3K | $145.84 | 1.76x |
| 81450 | Targeted genomic sequence analysis panel of dna or combine dna and rna of 5-50 genes associated with blood and lymphatic system disorders | 346 | $259.3K | $749.53 | 3.06x |
| 85097 | Bone marrow, smear interpretation | 3.0K | $211.3K | $70.65 | 2.24x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 3.5K | $207.3K | $59.67 | 2.40x |
| 88364 | Genetic sequencing localization, each additional procedure | 1.8K | $206.3K | $116.60 | 2.22x |
| 81206 | Translocation analysis (bcr/abl1) major breakpoint | 1.1K | $189.7K | $178.28 | 1.07x |
| 88264 | Chromosome analysis for genetic defects, analyze 20-25 cells | 859 | $122.8K | $142.93 | 3.04x |
| 88182 | Flow cytometry technique for dna or cell analysis | 1.3K | $109.8K | $82.09 | 1.77x |
This provider submits charges 2.55 times higher than what Medicare actually pays.
A markup ratio of 2.55x means for every $100 Medicare pays, this provider initially charges $255. 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 CT for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Dianon Systems, Inc | Shelton, CT | $71.6M | ✓ Clear |
| Quest Diagnostics Llc | Wallingford, CT | $45.8M | ✓ 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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