This provider's $94.4M in total Medicare payments ranks in the 99th 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 | $216.20 | $67.82 | 3.19x | $148.38 | $12.9M | 189.9K | 72 |
| 2015 | $239.23 | $74.91 | 3.19x | $164.32 | $12.0M | 159.6K | 65 |
| 2016 | $240.85 | $79.56 | 3.03x | $161.29 | $10.6M | 133.5K | 61 |
| 2017 | $244.22 | $77.91 | 3.13x | $166.31 | $9.7M | 124.2K | 58 |
| 2018 | $240.41 | $77.12 | 3.12x | $163.29 | $9.3M | 121.0K | 53 |
| 2019 | $238.27 | $72.97 | 3.27x | $165.30 | $9.3M | 127.6K | 55 |
| 2020 | $244.01 | $77.10 | 3.16x | $166.91 | $7.8M | 101.1K | 52 |
| 2021 | $241.90 | $77.26 | 3.13x | $164.64 | $7.9M | 101.9K | 51 |
| 2022 | $246.50 | $79.25 | 3.11x | $167.25 | $6.9M | 87.5K | 48 |
| 2023 | $265.22 | $96.94 | 2.74x | $168.28 | $8.0M | 82.9K | 47 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 542.2K | $31.7M | $58.47 | 4.17x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 88.1K | $12.3M | $139.95 | 2.66x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 85.6K | $7.8M | $90.86 | 2.36x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 88.5K | $7.5M | $85.09 | 2.61x |
| 88361 | Microscopic genetic analysis of tumor, using computer-assisted technology | 44.5K | $5.6M | $124.82 | 2.23x |
| 88120 | Cell examination of urine, manual | 7.2K | $4.0M | $556.52 | 3.04x |
| 88185 | Flow cytometry technique for dna or cell analysis, each additional marker | 97.4K | $3.3M | $34.24 | 2.45x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 43.1K | $2.5M | $57.78 | 2.10x |
| 88360 | Microscopic genetic analysis of tumor, manual | 21.1K | $2.5M | $117.50 | 2.21x |
| 88377 | Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure | 5.0K | $1.9M | $380.99 | 3.48x |
| 0026U | Dna and microrna gene analysis of thyroid nodule tissue | 530 | $1.9M | $3.5K | 1.16x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 17.4K | $1.5M | $88.22 | 2.07x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 17.7K | $1.4M | $79.66 | 2.58x |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 21.8K | $1.0M | $47.28 | 4.56x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 2.4K | $1.0M | $434.21 | 2.50x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 20.8K | $802.6K | $38.63 | 4.77x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 10.0K | $675.6K | $67.79 | 2.73x |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 4.1K | $668.1K | $161.53 | 2.73x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 2.2K | $543.4K | $245.32 | 1.70x |
| 88365 | Genetic sequencing localization, initial procedure | 3.4K | $539.8K | $158.13 | 1.80x |
This provider submits charges 3.11 times higher than what Medicare actually pays.
A markup ratio of 3.11x means for every $100 Medicare pays, this provider initially charges $311. 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 |
| Cdx Diagnostics, Inc. | Suffern, NY | $84.1M | ✓ 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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