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.
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 | $160.71 | $54.99 | 2.92x | $105.72 | $1.4M | 24.6K | 5 |
| 2015 | $162.01 | $55.99 | 2.89x | $106.02 | $1.5M | 26.0K | 5 |
| 2016 | $162.19 | $59.03 | 2.75x | $103.16 | $2.2M | 36.7K | 5 |
| 2017 | $221.18 | $56.33 | 3.93x | $164.85 | $2.7M | 47.5K | 5 |
| 2018 | $299.25 | $56.07 | 5.34x | $243.18 | $3.4M | 60.1K | 5 |
| 2019 | $301.12 | $56.38 | 5.34x | $244.74 | $4.1M | 72.3K | 5 |
| 2020 | $293.64 | $57.85 | 5.08x | $235.79 | $4.4M | 76.2K | 5 |
| 2021 | $292.66 | $59.60 | 4.91x | $233.06 | $5.7M | 95.6K | 6 |
| 2022 | $294.51 | $57.98 | 5.08x | $236.53 | $7.2M | 124.0K | 7 |
| 2023 | $296.61 | $58.17 | 5.10x | $238.44 | $8.0M | 136.9K | 8 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 518.5K | $27.1M | $52.21 | 4.89x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 89.6K | $7.2M | $80.11 | 4.75x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 54.5K | $3.2M | $58.33 | 4.16x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 24.2K | $2.0M | $82.55 | 4.25x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 9.3K | $646.6K | $69.54 | 4.77x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 3.5K | $233.7K | $67.58 | 2.15x |
| 87507 | Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets | 48 | $19.7K | $409.57 | 4.07x |
| 0097U | Test for detection of gastrointestinal disease-causing organism using amplified probe | 47 | $17.1K | $363.04 | 4.59x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 227 | $12.0K | $52.94 | 2.76x |
| 87449 | Detection test by immunoassay technique for other organism | 28 | $328.72 | $11.74 | 4.09x |
| 87324 | Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen) | 12 | $140.88 | $11.74 | 4.09x |
This provider submits charges 4.75 times higher than what Medicare actually pays.
A markup ratio of 4.75x means for every $100 Medicare pays, this provider initially charges $475. 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 Clinical Laboratory providers in TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Clinical Pathology Laboratories, Inc. | Austin, TX | $541.0M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Irving, TX | $453.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Dallas, TX | $389.6M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Houston, TX | $311.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Houston, TX | $299.4M | ⚠️ Flagged |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data