This provider's $54.4M in total Medicare payments ranks in the 98th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 101918% from 2017 to 2023.
73% of their billing comes from a single procedure code (0315U — Mrna gene expression profiling by real-time polymerase chain reaction (rt-pcr) of 40 genes (34 content and 6 housekeeping) associated with squamous cell carcinoma of skin in formalin-fixed paraffin-embedded (ffpe) tissue specimen, algorithm reported as ben).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 21151% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $280.07 | $98.11 | 2.85x | $181.96 | $43.7K | 445 | 2 |
| 2018 | $330.61 | $80.45 | 4.11x | $250.16 | $25.5K | 317 | 2 |
| 2020 | $3.0K | $2.5K | 1.20x | $500.88 | $132.1K | 53 | 1 |
| 2021 | $3.6K | $2.5K | 1.42x | $1.1K | $45.2K | 18 | 1 |
| 2022 | $7.6K | $3.4K | 2.26x | $4.2K | $9.6M | 2.9K | 2 |
| 2023 | $7.5K | $5.9K | 1.28x | $1.6K | $44.5M | 7.6K | 2 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 0315U | Mrna gene expression profiling by real-time polymerase chain reaction (rt-pcr) of 40 genes (34 content and 6 housekeeping) associated with squamous cell carcinoma of skin in formalin-fixed paraffin-embedded (ffpe) tissue specimen, algorithm reported as ben | 7.0K | $39.6M | $5.6K | 1.51x |
| 0108U | Computer-assisted digital imaging of esophagus specimen slides to evaluate risk of cancer | 3.5K | $14.7M | $4.2K | 1.30x |
| 88361 | Microscopic genetic analysis of tumor | 648 | $62.6K | $96.54 | 3.32x |
| 88358 | Microscopic genetic analysis of tumor | 114 | $6.6K | $57.93 | 3.29x |
This provider submits charges 1.45 times higher than what Medicare actually pays.
A markup ratio of 1.45x means for every $100 Medicare pays, this provider initially charges $145. 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 PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Clinical Laboratories Inc | Norristown, PA | $340.6M | ✓ Clear |
| Quest Diagnostics Of Pennsylvania, Inc. | Pittsburgh, PA | $130.4M | ⚠️ Flagged |
| Health Network Laboratories, Llc | Allentown, PA | $125.3M | ⚠️ Flagged |
| Sma Medical, Inc. | Feasterville, PA | $100.9M | ✓ Clear |
| Interpace Diagnostics Corporation | Pittsburgh, PA | $95.6M | ✓ 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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