This provider's $11.3M in total Medicare payments ranks in the 91th percentile of Clinical Laboratory providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $302.76 | $87.95 | 3.44x | $214.81 | $905.2K | 15.9K | 14.5K |
| 2015 | $318.08 | $80.14 | 3.97x | $237.94 | $1.0M | 17.2K | 15.5K |
| 2016 | $309.67 | $73.71 | 4.20x | $235.96 | $1.2M | 18.7K | 16.8K |
| 2017 | $318.90 | $75.91 | 4.20x | $242.99 | $1.2M | 18.1K | 16.3K |
| 2018 | $328.86 | $84.02 | 3.91x | $244.84 | $1.2M | 17.2K | 15.3K |
| 2019 | $331.20 | $82.40 | 4.02x | $248.80 | $1.2M | 17.6K | 15.8K |
| 2020 | $340.93 | $87.46 | 3.90x | $253.47 | $1.3M | 18.1K | 14.7K |
| 2021 | $466.33 | $118.83 | 3.92x | $347.50 | $1.2M | 17.6K | 14.3K |
| 2022 | $464.13 | $116.35 | 3.99x | $347.78 | $1.2M | 18.2K | 13.0K |
| 2023 | $459.91 | $117.95 | 3.90x | $341.96 | $1.0M | 15.2K | 13.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 18.5K | $1.1M | $58.77 | 5.85x |
| 82306 | Vitamin D-3 level | 29.9K | $1.0M | $35.03 | 4.82x |
| 88321 | Surgical pathology consultation and report | 11.1K | $923.2K | $82.82 | 3.36x |
| 88237 | Tissue culture for tumor disorders of bone marrow and blood cells | 4.9K | $756.6K | $153.00 | 3.55x |
| 86832 | Assessment of antibody to human leukocyte antigens (HLA) with high definition qualitative panel for identification of antibody specificities, HLA class I | 2.8K | $707.7K | $255.39 | 2.14x |
| 86833 | Assessment of antibody to human leukocyte antigens (HLA) with high definition qualitative panel for identification of antibody specificities, HLA class II | 2.8K | $693.2K | $250.43 | 2.04x |
| 88264 | Chromosome analysis for genetic defects | 4.4K | $664.0K | $152.25 | 3.99x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 4.0K | $518.6K | $130.63 | 2.81x |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 5.7K | $480.2K | $84.15 | 1.38x |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | 13.9K | $440.1K | $31.76 | 3.86x |
| 88342 | Tissue or cell analysis by immunologic technique | 5.0K | $426.9K | $85.84 | 3.65x |
| 88360 | Microscopic genetic analysis of tumor | 3.1K | $340.1K | $108.49 | 3.49x |
| 87624 | Detection test for human papillomavirus (hpv) | 7.6K | $304.1K | $39.92 | 3.33x |
| 88341 | Special stained specimen slides to examine tissue | 3.4K | $260.6K | $76.45 | 2.81x |
| 88275 | Genetic testing | 4.8K | $203.9K | $42.70 | 8.66x |
| 88112 | Cell examination of specimen | 2.9K | $161.9K | $56.31 | 7.17x |
| 81162 | Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants | 89 | $160.4K | $1.8K | 4.14x |
| 88291 | Interpretation and report of genetic testing | 5.4K | $148.7K | $27.59 | 4.14x |
| 88271 | DNA testing for genetic defects | 5.3K | $131.7K | $24.62 | 4.65x |
| 82652 | Dihydroxyvitamin D, 1, 25 level | 2.2K | $100.6K | $46.75 | 3.79x |
This provider submits charges 3.83 times higher than what Medicare actually pays.
A markup ratio of 3.83x means for every $100 Medicare pays, this provider initially charges $383. 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 CT for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Dianon Systems, Inc | Shelton, CT | $71.6M | ✓ Clear |
| Quest Diagnostics Llc | Wallingford, CT | $45.8M | ✓ 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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