This provider averages 71 services per working day
Based on 177.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.7M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 71 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 6850% from 2014 to 2023.
79% 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 290% in 2017
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 | $135.34 | $30.44 | 4.45x | $104.90 | $26.8K | 1.0K | 981 |
| 2015 | $149.84 | $35.72 | 4.19x | $114.12 | $49.8K | 1.7K | 1.7K |
| 2016 | $155.82 | $37.94 | 4.11x | $117.88 | $85.6K | 2.6K | 2.4K |
| 2017 | $151.33 | $33.83 | 4.47x | $117.50 | $333.8K | 8.0K | 7.0K |
| 2018 | $215.11 | $49.00 | 4.39x | $166.11 | $536.8K | 11.5K | 9.1K |
| 2019 | $251.58 | $64.69 | 3.89x | $186.89 | $819.2K | 18.7K | 14.7K |
| 2020 | $255.10 | $65.96 | 3.87x | $189.14 | $1.1M | 24.2K | 18.7K |
| 2021 | $292.19 | $76.60 | 3.81x | $215.59 | $1.4M | 30.3K | 23.8K |
| 2022 | $271.24 | $71.10 | 3.81x | $200.14 | $1.5M | 34.0K | 27.4K |
| 2023 | $279.25 | $72.58 | 3.85x | $206.67 | $1.9M | 45.4K | 34.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 147.3K | $6.1M | $41.30 | 4.12x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 6.6K | $467.3K | $70.69 | 3.86x |
| 88342 | Tissue or cell analysis by immunologic technique | 7.1K | $430.7K | $60.55 | 3.91x |
| 88341 | Special stained specimen slides to examine tissue | 5.7K | $316.1K | $55.66 | 3.90x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 6.1K | $150.2K | $24.80 | 4.33x |
| 88346 | Antibody evaluation | 704 | $69.3K | $98.43 | 3.76x |
| 88350 | Antibody evaluation | 686 | $51.8K | $75.45 | 3.77x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 366 | $23.9K | $65.42 | 4.65x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 513 | $22.4K | $43.59 | 3.88x |
| 88344 | Special stained specimen slides to examine tissue | 143 | $17.0K | $118.69 | 3.88x |
| 88331 | Pathology examination of tissue during surgery | 200 | $9.8K | $48.87 | 3.64x |
| 88189 | Flow cytometry technique for DNA or cell analysis | 117 | $9.2K | $78.26 | 3.30x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 697 | $7.2K | $10.38 | 3.53x |
| 88360 | Microscopic genetic analysis of tumor | 102 | $5.7K | $55.57 | 4.27x |
| 88309 | Pathology examination of tissue using a microscope, high complexity | 48 | $5.5K | $115.52 | 3.41x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 91 | $5.0K | $55.34 | 3.03x |
| 88112 | Cell examination of specimen | 200 | $4.4K | $22.09 | 6.28x |
| 88333 | Pathology examination of tissue specimen during surgery | 82 | $4.1K | $49.71 | 4.55x |
| 88365 | Genetic sequencing localization, initial procedure | 31 | $4.0K | $129.66 | 3.80x |
| 88332 | Pathology examination of specimen during surgery | 152 | $3.7K | $24.17 | 5.01x |
This provider submits charges 4.08 times higher than what Medicare actually pays.
A markup ratio of 4.08x means for every $100 Medicare pays, this provider initially charges $408. This is higher than the national average.
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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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