This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Medicare payments to this provider grew 2496% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 609% in 2021
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 | $173.95 | $31.28 | 5.56x | $142.67 | $42.1K | 1.4K | 1.3K |
| 2015 | $186.67 | $35.55 | 5.25x | $151.12 | $39.3K | 1.2K | 1.2K |
| 2016 | $205.28 | $43.68 | 4.70x | $161.60 | $67.9K | 1.7K | 1.6K |
| 2017 | $199.69 | $45.44 | 4.39x | $154.25 | $140.8K | 2.9K | 2.8K |
| 2018 | $224.44 | $43.57 | 5.15x | $180.87 | $111.5K | 3.0K | 2.9K |
| 2019 | $254.07 | $52.98 | 4.80x | $201.09 | $175.3K | 3.2K | 3.1K |
| 2020 | $271.96 | $56.62 | 4.80x | $215.34 | $138.5K | 2.4K | 2.4K |
| 2021 | $205.77 | $47.73 | 4.31x | $158.04 | $982.7K | 14.6K | 14.4K |
| 2022 | $189.22 | $64.85 | 2.92x | $124.37 | $1.0M | 15.1K | 14.9K |
| 2023 | $192.09 | $63.34 | 3.03x | $128.75 | $1.1M | 16.5K | 16.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 32.3K | $1.7M | $52.43 | 3.74x |
| 88342 | Tissue or cell analysis by immunologic technique | 8.9K | $702.7K | $78.54 | 3.37x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 9.9K | $644.5K | $65.12 | 2.69x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 5.5K | $505.2K | $91.22 | 2.62x |
| 88341 | Special stained specimen slides to examine tissue | 1.5K | $98.5K | $64.39 | 3.16x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 764 | $54.4K | $71.21 | 5.08x |
| 88309 | Pathology examination of tissue using a microscope, high complexity | 213 | $26.7K | $125.35 | 4.41x |
| 88331 | Pathology examination of tissue during surgery | 202 | $10.7K | $53.17 | 4.94x |
| 88112 | Cell examination of specimen | 464 | $10.7K | $23.07 | 9.35x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 161 | $9.6K | $59.90 | 3.87x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 45 | $7.0K | $154.77 | 6.93x |
| 88360 | Microscopic genetic analysis of tumor | 138 | $5.5K | $40.19 | 5.62x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 518 | $5.0K | $9.67 | 15.36x |
| 88141 | Pap test (Pap smear) | 171 | $4.1K | $24.05 | 2.62x |
| 88300 | Pathology examination of tissue using a microscope, limited examination | 672 | $3.0K | $4.44 | 13.11x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 244 | $2.6K | $10.68 | 5.29x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 103 | $2.6K | $25.14 | 4.76x |
| 88321 | Surgical pathology consultation and report | 28 | $2.1K | $73.87 | 2.96x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 66 | $672.46 | $10.19 | 6.41x |
| 88104 | Cell examination of body fluid | 17 | $410.06 | $24.12 | 4.56x |
This provider submits charges 3.4 times higher than what Medicare actually pays.
A markup ratio of 3.4x means for every $100 Medicare pays, this provider initially charges $340. This is higher than the national average.
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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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