⚠️ This provider averages 333 services per working day — physically unusual for an individual practitioner
Based on 832.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $32.6M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 333 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 178% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 72% in 2023
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 | $381.40 | $152.63 | 2.50x | $228.77 | $2.0M | 13.0K | 10 |
| 2015 | $427.72 | $164.94 | 2.59x | $262.78 | $2.3M | 13.8K | 10 |
| 2016 | $459.94 | $168.18 | 2.73x | $291.76 | $2.4M | 14.1K | 10 |
| 2017 | $114.07 | $44.02 | 2.59x | $70.05 | $2.8M | 64.7K | 36 |
| 2018 | $93.31 | $38.35 | 2.43x | $54.96 | $3.9M | 101.0K | 38 |
| 2019 | $94.15 | $33.54 | 2.81x | $60.61 | $3.7M | 111.0K | 43 |
| 2020 | $79.35 | $32.86 | 2.41x | $46.49 | $3.4M | 102.4K | 44 |
| 2021 | $70.68 | $30.40 | 2.33x | $40.28 | $3.4M | 110.9K | 46 |
| 2022 | $65.26 | $28.08 | 2.32x | $37.18 | $3.2M | 114.6K | 51 |
| 2023 | $65.51 | $29.56 | 2.22x | $35.95 | $5.5M | 187.1K | 56 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88120 | Cell examination of urine, manual | 26.3K | $12.3M | $467.77 | 2.58x |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 83.4K | $4.1M | $49.42 | 2.71x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 11.3K | $3.8M | $331.43 | 2.85x |
| 84153 | Psa (prostate specific antigen) measurement, total | 146.3K | $2.9M | $19.66 | 2.09x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 43.9K | $1.5M | $33.72 | 2.04x |
| 87086 | Bacterial colony count, urine | 135.8K | $1.2M | $8.64 | 2.09x |
| 84154 | Psa (prostate specific antigen) measurement, free | 40.3K | $786.2K | $19.51 | 2.09x |
| 84403 | Testosterone (hormone) level, total | 28.9K | $782.9K | $27.08 | 2.08x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 14.3K | $761.9K | $53.43 | 2.63x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 75.9K | $702.8K | $9.26 | 2.10x |
| 87077 | Bacterial culture for aerobic isolates | 77.3K | $668.4K | $8.64 | 2.09x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 2.4K | $519.3K | $216.63 | 2.60x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 8.2K | $280.0K | $34.36 | 2.04x |
| 80053 | Blood test, comprehensive group of blood chemicals | 18.0K | $195.7K | $10.88 | 2.10x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 18.1K | $162.1K | $8.96 | 2.09x |
| 87556 | Detection test by nucleic acid for mycobacteria tuberculosis (tb bacteria), amplified probe technique | 3.5K | $143.6K | $40.77 | 2.04x |
| 82670 | Measurement of total estradiol (hormone) | 4.6K | $130.3K | $28.36 | 2.10x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 3.6K | $122.6K | $34.33 | 2.04x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 3.5K | $120.7K | $34.33 | 2.04x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 3.5K | $120.4K | $34.33 | 2.04x |
This provider submits charges 2.47 times higher than what Medicare actually pays.
A markup ratio of 2.47x means for every $100 Medicare pays, this provider initially charges $247. 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 Pathology providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ryan Olson, MD | Fort Myers, FL | $54.3M | ⚠️ Flagged |
| Wilfredo Blasini, M.D. | Fort Myers, FL | $35.8M | ⚠️ 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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