This provider's $8.6M in total Medicare payments ranks in the 89th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 5.96x is significantly above the specialty median of 3.7x.
Medicare payments to this provider grew 546% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 87% in 2016
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 | $271.59 | $73.67 | 3.69x | $197.92 | $186.6K | 2.2K | 2.0K |
| 2015 | $487.82 | $86.95 | 5.61x | $400.87 | $270.2K | 3.1K | 2.8K |
| 2016 | $485.16 | $88.87 | 5.46x | $396.29 | $504.6K | 4.7K | 4.2K |
| 2017 | $560.30 | $90.71 | 6.18x | $469.59 | $490.7K | 5.3K | 4.8K |
| 2018 | $758.06 | $133.87 | 5.66x | $624.19 | $774.5K | 7.7K | 6.8K |
| 2019 | $673.04 | $119.96 | 5.61x | $553.08 | $1.2M | 11.0K | 9.7K |
| 2020 | $650.95 | $116.56 | 5.58x | $534.39 | $1.2M | 10.0K | 9.0K |
| 2021 | $690.46 | $123.45 | 5.59x | $567.01 | $1.6M | 15.0K | 13.5K |
| 2022 | $523.38 | $90.22 | 5.80x | $433.16 | $1.2M | 12.6K | 11.6K |
| 2023 | $588.43 | $100.32 | 5.87x | $488.11 | $1.2M | 12.3K | 11.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88377 | Microscopic genetic examination manual | 7.1K | $2.6M | $363.04 | 6.22x |
| 88189 | Flow cytometry technique for DNA or cell analysis | 10.1K | $815.7K | $80.77 | 6.07x |
| 88368 | Microscopic genetic analysis of tissue | 5.7K | $660.3K | $114.85 | 6.43x |
| 88184 | Flow cytometry technique for DNA or cell analysis | 8.9K | $602.4K | $68.01 | 6.16x |
| 81450 | Test for detecting genes associated with blood related cancer | 751 | $564.1K | $751.16 | 5.06x |
| 88369 | Microscopic genetic examination manual | 4.9K | $499.2K | $101.37 | 6.37x |
| 88264 | Chromosome analysis for genetic defects | 2.2K | $318.8K | $145.04 | 5.07x |
| 88237 | Tissue culture for tumor disorders of bone marrow and blood cells | 2.2K | $305.7K | $137.95 | 5.12x |
| 88342 | Tissue or cell analysis by immunologic technique | 3.3K | $290.6K | $88.60 | 6.27x |
| 88341 | Special stained specimen slides to examine tissue | 3.3K | $249.5K | $76.10 | 6.10x |
| 88185 | Flow cytometry technique for DNA or cell analysis | 8.9K | $247.2K | $27.92 | 5.99x |
| 85097 | Bone marrow, smear interpretation | 2.9K | $206.2K | $70.69 | 6.26x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 2.8K | $194.8K | $68.54 | 6.00x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 3.2K | $188.7K | $59.22 | 6.06x |
| 81219 | Gene analysis (calreticulin), common variants | 1.1K | $135.0K | $127.47 | 5.06x |
| 81270 | Gene analysis (Janus kinase 2) variant | 1.1K | $112.1K | $97.79 | 5.06x |
| 81342 | Gene rearrangement analysis detection abnormal clonal population (T cell antigen receptor gamma) | 408 | $82.9K | $203.11 | 5.06x |
| 81339 | Gene analysis (mpl proto-oncogene, thrombopoietin receptor) sequence analysis of exon 10 | 403 | $73.8K | $183.07 | 5.06x |
| 88291 | Interpretation and report of genetic testing | 2.1K | $64.8K | $30.81 | 6.19x |
| 88367 | Microscopic genetic analysis of tissue | 319 | $60.6K | $189.99 | 4.96x |
This provider submits charges 5.96 times higher than what Medicare actually pays.
A markup ratio of 5.96x means for every $100 Medicare pays, this provider initially charges $596. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Northwell Health Laboratories | New Hyde Park, NY | $299.4M | ⚠️ Flagged |
| Sunrise Medical Laboratories, Inc. | Hicksville, NY | $281.2M | ⚠️ Flagged |
| Lenco Diagnostic Laboratories,inc. | Brooklyn, NY | $101.5M | ⚠️ Flagged |
| Enzo Clinical Labs, Inc. | Farmingdale, NY | $100.1M | ⚠️ Flagged |
| Cblpath, Inc | Rye Brook, NY | $94.4M | ✓ 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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