This provider's $54.1M in total Medicare payments ranks in the 98th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 77% from 2014 to 2023.
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 | $103.01 | $78.61 | 1.31x | $24.40 | $3.6M | 46.3K | 26 |
| 2015 | $158.99 | $75.38 | 2.11x | $83.61 | $4.1M | 54.2K | 26 |
| 2016 | $103.05 | $80.52 | 1.28x | $22.53 | $4.0M | 49.4K | 24 |
| 2017 | $94.69 | $73.02 | 1.30x | $21.67 | $3.9M | 53.9K | 25 |
| 2018 | $91.14 | $70.12 | 1.30x | $21.02 | $4.2M | 60.1K | 28 |
| 2019 | $88.44 | $68.57 | 1.29x | $19.87 | $5.0M | 72.5K | 24 |
| 2020 | $93.42 | $76.47 | 1.22x | $16.95 | $6.4M | 83.2K | 25 |
| 2021 | $77.13 | $59.27 | 1.30x | $17.86 | $9.1M | 153.3K | 29 |
| 2022 | $79.44 | $60.84 | 1.31x | $18.60 | $7.4M | 121.5K | 29 |
| 2023 | $84.98 | $64.22 | 1.32x | $20.76 | $6.5M | 100.5K | 31 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 244.8K | $10.3M | $42.03 | 1.53x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 106.9K | $8.6M | $80.45 | 1.32x |
| 88121 | Cell examination of urine, computer-assisted | 14.8K | $6.9M | $466.20 | 1.33x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 108.4K | $6.8M | $62.50 | 1.30x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 89.7K | $6.4M | $70.86 | 1.38x |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 67.2K | $5.5M | $82.00 | 1.10x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 19.8K | $1.5M | $74.90 | 1.34x |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 28.9K | $1.4M | $49.16 | 1.46x |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within | 47.5K | $1.2M | $24.92 | 1.00x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 5.6K | $801.6K | $142.38 | 1.33x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 2.3K | $799.5K | $344.89 | 1.48x |
| 88377 | Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure | 1.6K | $536.6K | $338.98 | 1.41x |
| 88185 | Flow cytometry technique for dna or cell analysis, each additional marker | 15.4K | $510.4K | $33.23 | 1.96x |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 3.3K | $502.4K | $150.55 | 1.50x |
| 88360 | Microscopic genetic analysis of tumor, manual | 4.6K | $485.6K | $105.26 | 1.38x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 5.0K | $302.0K | $60.54 | 1.50x |
| 87636 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b | 1.5K | $203.6K | $136.75 | 1.39x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 5.1K | $193.2K | $37.72 | 1.47x |
| 88366 | Genetic sequencing localization, each multiplex procedure | 741 | $189.1K | $255.20 | 1.24x |
| 88120 | Cell examination of urine, manual | 307 | $157.1K | $511.62 | 1.28x |
This provider submits charges 1.35 times higher than what Medicare actually pays.
A markup ratio of 1.35x means for every $100 Medicare pays, this provider initially charges $135. 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 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 |
| Cblpath, Inc | Rye Brook, NY | $94.4M | ✓ 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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