This provider's $11.4M in total Medicare payments ranks in the 92th 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 | $182.99 | $118.27 | 1.55x | $64.72 | $1.2M | 26.9K | 24.0K |
| 2015 | $160.02 | $90.68 | 1.76x | $69.34 | $1.2M | 26.8K | 23.9K |
| 2016 | $165.55 | $83.82 | 1.98x | $81.73 | $1.3M | 28.2K | 25.4K |
| 2017 | $152.63 | $69.59 | 2.19x | $83.04 | $1.2M | 27.0K | 24.0K |
| 2018 | $157.49 | $71.89 | 2.19x | $85.60 | $1.3M | 29.1K | 25.5K |
| 2019 | $138.58 | $62.77 | 2.21x | $75.81 | $1.2M | 29.0K | 25.2K |
| 2020 | $161.30 | $72.59 | 2.22x | $88.71 | $949.7K | 23.7K | 20.6K |
| 2021 | $134.65 | $62.86 | 2.14x | $71.79 | $1.1M | 25.0K | 21.7K |
| 2022 | $123.39 | $59.79 | 2.06x | $63.60 | $1.0M | 26.6K | 23.2K |
| 2023 | $138.06 | $66.19 | 2.09x | $71.87 | $1.0M | 26.0K | 22.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 162.4K | $5.5M | $33.79 | 2.67x |
| 88342 | Tissue or cell analysis by immunologic technique | 21.6K | $1.0M | $47.87 | 1.96x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 5.8K | $785.5K | $136.38 | 2.03x |
| 88321 | Surgical pathology consultation and report | 7.6K | $547.0K | $72.41 | 1.97x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 8.4K | $431.4K | $51.23 | 1.62x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 10.4K | $382.5K | $36.73 | 1.87x |
| 88237 | Tissue culture for tumor disorders of bone marrow and blood cells | 1.7K | $269.3K | $158.70 | 2.20x |
| 88341 | Special stained specimen slides to examine tissue | 5.9K | $265.6K | $45.04 | 1.44x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 10.0K | $221.2K | $22.15 | 3.03x |
| 88262 | Chromosome analysis for genetic defects | 1.3K | $213.4K | $160.80 | 2.48x |
| 88189 | Flow cytometry technique for DNA or cell analysis | 2.3K | $180.0K | $76.95 | 2.16x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 2.2K | $147.1K | $66.43 | 2.28x |
| 88184 | Flow cytometry technique for DNA or cell analysis | 2.4K | $131.5K | $55.24 | 1.61x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 2.8K | $117.4K | $42.02 | 2.38x |
| 88346 | Antibody evaluation | 1.3K | $105.3K | $82.84 | 1.79x |
| 85097 | Bone marrow, smear interpretation | 1.6K | $101.5K | $63.69 | 2.34x |
| 88361 | Microscopic genetic analysis of tumor | 1.4K | $97.8K | $67.43 | 1.89x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 391 | $72.7K | $185.82 | 2.87x |
| 88185 | Flow cytometry technique for DNA or cell analysis | 2.4K | $71.0K | $29.84 | 2.41x |
| 88350 | Antibody evaluation | 1.0K | $66.3K | $63.37 | 2.28x |
This provider submits charges 2.34 times higher than what Medicare actually pays.
A markup ratio of 2.34x means for every $100 Medicare pays, this provider initially charges $234. 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 IN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Patients Choice Laboratories Of Indiana, Llc | Indianapolis, IN | $70.5M | ✓ Clear |
| Professional Clinical Laboratories, Llc | Hammond, IN | $70.1M | ⚠️ Flagged |
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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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