This provider's $21.5M in total Medicare payments ranks in the 96th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 454% from 2014 to 2023.
76% 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.
Notable: Payments increased 56% in 2018
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 | $85.02 | $38.56 | 2.20x | $46.46 | $617.4K | 16.0K | 9 |
| 2015 | $103.31 | $43.40 | 2.38x | $59.91 | $722.4K | 16.6K | 14 |
| 2016 | $124.94 | $48.02 | 2.60x | $76.92 | $1.1M | 23.1K | 14 |
| 2017 | $131.21 | $49.57 | 2.65x | $81.64 | $1.6M | 31.7K | 16 |
| 2018 | $133.22 | $50.94 | 2.62x | $82.28 | $2.4M | 48.0K | 10 |
| 2019 | $132.06 | $48.45 | 2.73x | $83.61 | $2.6M | 54.2K | 10 |
| 2020 | $135.09 | $51.94 | 2.60x | $83.15 | $2.9M | 55.4K | 12 |
| 2021 | $141.72 | $54.34 | 2.61x | $87.38 | $2.9M | 54.1K | 22 |
| 2022 | $138.56 | $53.21 | 2.60x | $85.35 | $3.2M | 59.9K | 24 |
| 2023 | $136.99 | $51.44 | 2.66x | $85.55 | $3.4M | 66.5K | 19 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 351.8K | $16.2M | $46.16 | 2.64x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 32.1K | $2.4M | $74.40 | 2.62x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 14.2K | $1.1M | $77.07 | 2.57x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 8.7K | $563.8K | $64.53 | 2.52x |
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 3.1K | $231.9K | $75.01 | 2.52x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 757 | $163.3K | $215.78 | 2.56x |
| 88321 | Surgical pathology consultation and report on referred slides prepared elsewhere | 2.0K | $152.3K | $75.10 | 2.55x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 2.6K | $129.2K | $50.27 | 2.47x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 1.6K | $101.4K | $62.74 | 1.54x |
| 88331 | Pathology examination of specimen during surgery, first tissue block | 759 | $56.1K | $73.93 | 2.43x |
| 88346 | Antibody evaluation, initial single antibody stain procedure | 577 | $56.0K | $96.99 | 2.37x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 117 | $48.9K | $418.24 | 2.62x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 1.3K | $43.7K | $34.50 | 1.22x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 815 | $42.3K | $51.96 | 1.97x |
| 88323 | Surgical pathology consultation and report on referred material requiring preparation of slides | 365 | $36.4K | $99.85 | 1.64x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 1.1K | $32.8K | $31.20 | 2.63x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 1.2K | $19.4K | $16.40 | 2.53x |
| 88121 | Cell examination of urine | 73 | $15.8K | $216.17 | 2.56x |
| 88356 | Microscopic genetic analysis of nerve tissue | 81 | $14.6K | $180.57 | 2.59x |
| 88332 | Pathology examination of specimen during surgery | 371 | $12.8K | $34.59 | 1.74x |
This provider submits charges 2.61 times higher than what Medicare actually pays.
A markup ratio of 2.61x means for every $100 Medicare pays, this provider initially charges $261. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Clinical Laboratories Inc | Tampa, FL | $1.0B | ⚠️ Flagged |
| Laboratory Corporation Of America | Tampa, FL | $463.1M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Miramar, FL | $417.1M | ⚠️ Flagged |
| American Health S, Llc | Davie, FL | $175.7M | ✓ Clear |
| Ameripath Florida Llc | Pompano Beach, FL | $80.1M | ✓ 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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