This provider's $11.6M in total Medicare payments ranks in the 92th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 425% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 93% in 2015
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 | $154.03 | $84.30 | 1.83x | $69.73 | $267.5K | 6.0K | 3.6K |
| 2015 | $226.74 | $99.61 | 2.28x | $127.13 | $515.5K | 10.4K | 7.0K |
| 2016 | $219.85 | $98.62 | 2.23x | $121.23 | $807.1K | 15.0K | 10.4K |
| 2017 | $238.94 | $89.82 | 2.66x | $149.12 | $1.0M | 20.7K | 14.4K |
| 2018 | $239.44 | $90.72 | 2.64x | $148.72 | $1.6M | 21.6K | 16.1K |
| 2019 | $205.50 | $94.61 | 2.17x | $110.89 | $1.6M | 21.0K | 15.2K |
| 2020 | $148.49 | $70.22 | 2.11x | $78.27 | $1.6M | 14.9K | 11.1K |
| 2021 | $169.32 | $65.15 | 2.60x | $104.17 | $1.4M | 17.5K | 12.4K |
| 2022 | $177.94 | $61.31 | 2.90x | $116.63 | $1.4M | 20.3K | 13.2K |
| 2023 | $189.94 | $67.93 | 2.80x | $122.01 | $1.4M | 18.6K | 12.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 21.4K | $4.0M | $189.47 | 1.64x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 111.0K | $4.0M | $35.94 | 2.71x |
| 88325 | Comprehensive surgical pathology consultation and report | 14.6K | $2.1M | $146.17 | 1.96x |
| 88361 | Microscopic genetic analysis of tumor | 3.9K | $375.0K | $96.90 | 2.30x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 2.4K | $210.5K | $86.27 | 1.85x |
| 88323 | Surgical pathology consultation and report | 1.6K | $176.1K | $107.45 | 2.64x |
| 88342 | Tissue or cell analysis by immunologic technique | 2.2K | $173.3K | $80.50 | 2.66x |
| 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 | 1.6K | $117.9K | $74.63 | 6.71x |
| 88321 | Surgical pathology consultation and report | 1.1K | $86.4K | $82.25 | 2.54x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 1.2K | $74.1K | $60.52 | 2.57x |
| 88341 | Special stained specimen slides to examine tissue | 918 | $64.0K | $69.73 | 2.55x |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within | 1.6K | $39.3K | $24.88 | 2.02x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.3K | $31.1K | $23.33 | 2.14x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 251 | $18.5K | $73.64 | 2.28x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 145 | $10.3K | $71.32 | 2.80x |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 114 | $5.8K | $50.94 | 4.03x |
| 88300 | Pathology examination of tissue using a microscope, limited examination | 352 | $3.7K | $10.61 | 4.71x |
| 88160 | Screening examination of specimen cells | 101 | $3.3K | $32.53 | 3.69x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 246 | $2.6K | $10.62 | 9.43x |
| 88346 | Antibody evaluation | 20 | $2.0K | $97.93 | 2.55x |
This provider submits charges 2.2 times higher than what Medicare actually pays.
A markup ratio of 2.2x means for every $100 Medicare pays, this provider initially charges $220. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Genomic Health, Inc. | Redwood City, CA | $887.6M | ✓ Clear |
| Unilab Corporation | West Hills, CA | $868.8M | ⚠️ Flagged |
| Caredx Inc. | Brisbane, CA | $751.0M | ✓ Clear |
| Laboratory Corporation Of America | San Diego, CA | $592.4M | ⚠️ Flagged |
| Millennium Health, Llc | San Diego, CA | $587.9M | ✓ 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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