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Methodology•Download Data
  1. Home
  2. Providers
  3. Texas Digestive Disease Consultants, Pllc
🔬
Organization

Texas Digestive Disease Consultants, Pllc

NPI: 1275739815
Bedford, TX
10 years of data
Clinical Laboratory
$40.4M
Total Payments
56
Beneficiaries
699.9K
Services
4.75x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$40.4M
Specialty median$1.9M
Rank #195 of 232 in specialty

📋 Key Findings

1Billed $40.4M over 10 years
24.75x markup ratio (above median)
398th percentile in Clinical Laboratory by payments
49 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $40.4M in total Medicare payments ranks in the 98th percentile of Clinical Laboratory providers nationally.

Medicare payments to this provider grew 489% from 2014 to 2023.

67% of their billing comes from a single procedure code (88305 — Pathology examination of tissue using a microscope, intermediate complexity).

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$160.71$54.992.92x$105.72$1.4M24.6K5
2015$162.01$55.992.89x$106.02$1.5M26.0K5
2016$162.19$59.032.75x$103.16$2.2M36.7K5
2017$221.18$56.333.93x$164.85$2.7M47.5K5
2018$299.25$56.075.34x$243.18$3.4M60.1K5
2019$301.12$56.385.34x$244.74$4.1M72.3K5
2020$293.64$57.855.08x$235.79$4.4M76.2K5
2021$292.66$59.604.91x$233.06$5.7M95.6K6
2022$294.51$57.985.08x$236.53$7.2M124.0K7
2023$296.61$58.175.10x$238.44$8.0M136.9K8

Top Procedures (11)

88305Pathology examination of tissue using a microscope, intermediate complexity⚠ 4.9x markup
$27.1M
518.5K services$52.21/svc4.89x markup
88342Special stained specimen slides to examine tissue, initial procedure⚠ 4.8x markup
$7.2M
89.6K services$80.11/svc4.75x markup
88313Special stained specimen slides to examine tissue including interpretation and report⚠ 4.2x markup
$3.2M
54.5K services$58.33/svc4.16x markup
88312Special stained specimen slides to identify organisms including interpretation and report⚠ 4.3x markup
$2.0M
24.2K services$82.55/svc4.25x markup
88341Special stained specimen slides to examine tissue, each additional procedure⚠ 4.8x markup
$646.6K
9.3K services$69.54/svc4.77x markup
G0461Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain
$233.7K
3.5K services$67.58/svc2.15x markup
87507Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets⚠ 4.1x markup
$19.7K
48 services$409.57/svc4.07x markup
0097UTest for detection of gastrointestinal disease-causing organism using amplified probe⚠ 4.6x markup
$17.1K
47 services$363.04/svc4.59x markup
G0462Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure)
$12.0K
227 services$52.94/svc2.76x markup
87449Detection test by immunoassay technique for other organism⚠ 4.1x markup
$328.72
28 services$11.74/svc4.09x markup
87324Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)⚠ 4.1x markup
$140.88
12 services$11.74/svc4.09x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
88305Pathology examination of tissue using a microscope, intermediate complexity518.5K$27.1M$52.214.89x
88342Special stained specimen slides to examine tissue, initial procedure89.6K$7.2M$80.114.75x
88313Special stained specimen slides to examine tissue including interpretation and report54.5K$3.2M$58.334.16x
88312Special stained specimen slides to identify organisms including interpretation and report24.2K$2.0M$82.554.25x
88341Special stained specimen slides to examine tissue, each additional procedure9.3K$646.6K$69.544.77x
G0461Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain3.5K$233.7K$67.582.15x
87507Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets48$19.7K$409.574.07x
0097UTest for detection of gastrointestinal disease-causing organism using amplified probe47$17.1K$363.044.59x
G0462Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure)227$12.0K$52.942.76x
87449Detection test by immunoassay technique for other organism28$328.72$11.744.09x
87324Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)12$140.88$11.744.09x

Markup Analysis

Charge-to-Payment Ratio

4.75x

This provider submits charges 4.75 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.75x means for every $100 Medicare pays, this provider initially charges $475. This is higher than the national average.

Location

Bedford, TX

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Clinical Laboratory providers in TX for peer comparison.

Texas Digestive Disease Consultants, Pllc (you)
$40.4M
Clinical Pathology Laboratories, Inc.⚠️
$541.0M
Quest Diagnostics Clinical Laboratories Inc⚠️
$453.2M
Laboratory Corporation Of America⚠️
$389.6M
Quest Diagnostics Clinical Laboratories Inc⚠️
$311.2M
Laboratory Corporation Of America⚠️
$299.4M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Clinical Pathology Laboratories, Inc.Austin, TX$541.0M⚠️ Flagged
Quest Diagnostics Clinical Laboratories IncIrving, TX$453.2M⚠️ Flagged
Laboratory Corporation Of AmericaDallas, TX$389.6M⚠️ Flagged
Quest Diagnostics Clinical Laboratories IncHouston, TX$311.2M⚠️ Flagged
Laboratory Corporation Of AmericaHouston, TX$299.4M⚠️ Flagged

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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