This provider averages 86 services per working day
Based on 216.0K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $14.7M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 86 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 191% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 84% in 2020
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $201.69 | $40.75 | 4.95x | $160.94 | $1.0M | 25.1K | 18 |
| 2015 | $332.87 | $91.15 | 3.65x | $241.72 | $1.6M | 17.8K | 21 |
| 2016 | $235.73 | $57.18 | 4.12x | $178.55 | $619.4K | 10.8K | 9 |
| 2017 | $236.33 | $54.94 | 4.30x | $181.39 | $621.1K | 11.3K | 9 |
| 2018 | $237.79 | $56.24 | 4.23x | $181.55 | $785.0K | 14.0K | 10 |
| 2019 | $256.62 | $61.96 | 4.14x | $194.66 | $836.4K | 13.5K | 12 |
| 2020 | $279.21 | $78.92 | 3.54x | $200.29 | $1.5M | 19.5K | 21 |
| 2021 | $251.46 | $72.66 | 3.46x | $178.80 | $2.2M | 30.6K | 19 |
| 2022 | $312.63 | $76.89 | 4.07x | $235.74 | $2.5M | 32.4K | 22 |
| 2023 | $302.60 | $72.60 | 4.17x | $230.00 | $3.0M | 41.0K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 136.5K | $6.8M | $49.78 | 5.24x |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 6.0K | $1.5M | $242.51 | 2.65x |
| 87507 | Detection test for digestive tract pathogen | 1.7K | $924.7K | $547.81 | 2.88x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 10.2K | $792.2K | $77.95 | 3.96x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 9.6K | $773.3K | $80.61 | 2.43x |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 6.6K | $738.6K | $112.39 | 2.58x |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 3.8K | $738.0K | $192.48 | 2.62x |
| 80307 | Testing for presence of drug, by chemistry analyzers | 11.0K | $673.3K | $61.09 | 2.57x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 9.7K | $660.8K | $68.20 | 3.42x |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 1.9K | $297.6K | $152.79 | 2.79x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 4.5K | $137.5K | $30.23 | 5.22x |
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 1.6K | $125.1K | $78.87 | 2.28x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 2.6K | $112.2K | $42.48 | 2.55x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 1.8K | $88.7K | $50.50 | 2.49x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 1.4K | $72.3K | $52.09 | 3.88x |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 419 | $56.9K | $135.70 | 1.95x |
| 88346 | Antibody evaluation, initial single antibody stain procedure | 415 | $42.5K | $102.32 | 3.04x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 653 | $30.7K | $47.00 | 4.91x |
| 88175 | Pap test | 862 | $29.8K | $34.62 | 2.98x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 1.4K | $23.2K | $16.64 | 3.73x |
This provider submits charges 3.98 times higher than what Medicare actually pays.
A markup ratio of 3.98x means for every $100 Medicare pays, this provider initially charges $398. 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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