This provider's $5.3M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Medicare payments to this provider grew 5730% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2210% in 2019
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 | $99.36 | $32.93 | 3.02x | $66.43 | $21.8K | 802 | 740 |
| 2015 | $118.75 | $55.33 | 2.15x | $63.42 | $12.8K | 405 | 396 |
| 2019 | $473.43 | $152.42 | 3.11x | $321.01 | $295.9K | 3.0K | 2.9K |
| 2020 | $410.05 | $129.30 | 3.17x | $280.75 | $1.2M | 12.5K | 11.2K |
| 2021 | $290.81 | $94.08 | 3.09x | $196.73 | $1.2M | 13.3K | 11.9K |
| 2022 | $299.61 | $95.09 | 3.15x | $204.52 | $1.3M | 13.7K | 12.3K |
| 2023 | $277.96 | $85.60 | 3.25x | $192.36 | $1.3M | 14.6K | 13.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88120 | Cell examination of urine | 3.3K | $1.4M | $407.22 | 1.73x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 4.6K | $1.2M | $250.40 | 6.27x |
| 88112 | Cell examination of specimen | 20.1K | $926.4K | $46.11 | 3.49x |
| 88342 | Tissue or cell analysis by immunologic technique | 12.2K | $898.6K | $73.75 | 3.35x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 12.8K | $702.1K | $54.96 | 2.98x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2.3K | $99.7K | $43.09 | 5.88x |
| 88377 | Microscopic genetic examination manual | 278 | $80.5K | $289.68 | 1.88x |
| 88344 | Special stained specimen slides to examine tissue | 235 | $28.2K | $120.04 | 3.27x |
| 88341 | Special stained specimen slides to examine tissue | 200 | $10.9K | $54.49 | 3.85x |
| 82232 | Beta-2 microglobulin (protein) level | 427 | $6.8K | $15.98 | 3.75x |
| 88108 | Cell examination of specimen | 79 | $3.3K | $41.82 | 2.18x |
| 82043 | Urine microalbumin (protein) level | 427 | $2.4K | $5.71 | 5.08x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 425 | $2.2K | $5.12 | 5.08x |
| 88121 | Cell examination of urine | 46 | $1.8K | $38.51 | 1.69x |
| 84156 | Total protein level, urine | 419 | $1.5K | $3.63 | 5.24x |
| 88367 | Microscopic genetic analysis of tissue | 23 | $1.1K | $47.33 | 1.87x |
| 81003 | Automated urinalysis test | 421 | $934.66 | $2.22 | 7.21x |
| 88300 | Pathology examination of tissue using a microscope, limited examination | 32 | $361.47 | $11.30 | 3.54x |
| 88319 | Evaluation of specimen enzymes | 14 | $280.56 | $20.04 | 3.09x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 11 | $255.20 | $23.20 | 4.04x |
This provider submits charges 3.58 times higher than what Medicare actually pays.
A markup ratio of 3.58x means for every $100 Medicare pays, this provider initially charges $358. 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 TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Richard Kinsey, MD | Memphis, TN | $40.6M | ✓ 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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