This provider's $33.9M in total Medicare payments ranks in the 97th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 323% from 2014 to 2023.
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 | $150.81 | $48.63 | 3.10x | $102.18 | $1.5M | 30.0K | 6 |
| 2015 | $147.39 | $46.92 | 3.14x | $100.47 | $1.7M | 36.9K | 9 |
| 2016 | $150.24 | $50.50 | 2.98x | $99.74 | $2.2M | 42.8K | 9 |
| 2017 | $150.30 | $47.86 | 3.14x | $102.44 | $2.2M | 45.8K | 16 |
| 2018 | $145.15 | $47.17 | 3.08x | $97.98 | $2.4M | 51.6K | 20 |
| 2019 | $151.01 | $50.33 | 3.00x | $100.68 | $3.2M | 63.4K | 20 |
| 2020 | $143.06 | $53.02 | 2.70x | $90.04 | $4.0M | 75.7K | 30 |
| 2021 | $140.45 | $55.28 | 2.54x | $85.17 | $5.2M | 93.9K | 33 |
| 2022 | $144.99 | $54.52 | 2.66x | $90.47 | $5.4M | 98.3K | 30 |
| 2023 | $142.91 | $53.42 | 2.68x | $89.49 | $6.2M | 115.2K | 37 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 269.2K | $9.6M | $35.72 | 3.99x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 106.0K | $6.7M | $63.43 | 2.04x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 93.8K | $6.6M | $70.50 | 2.54x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 67.9K | $5.4M | $80.07 | 2.12x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 53.2K | $3.3M | $62.44 | 2.31x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 1.3K | $323.6K | $252.85 | 5.13x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 4.8K | $294.5K | $60.85 | 2.72x |
| 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 | 3.2K | $269.6K | $84.16 | 2.38x |
| 84153 | Psa (prostate specific antigen) measurement, total | 9.3K | $179.6K | $19.26 | 3.12x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 3.6K | $112.0K | $31.01 | 3.51x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 729 | $104.4K | $143.17 | 1.77x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 4.4K | $103.6K | $23.42 | 2.05x |
| U0003 | 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, making use of high throughput technologies as described by cms-2020-01-r | 1.3K | $94.9K | $74.58 | 6.70x |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 2.1K | $94.1K | $44.41 | 2.54x |
| 88121 | Cell examination of urine, computer-assisted | 225 | $88.2K | $392.08 | 2.04x |
| 88120 | Cell examination of urine, manual | 153 | $84.4K | $551.38 | 1.98x |
| 87086 | Bacterial colony count, urine | 8.7K | $72.4K | $8.35 | 3.59x |
| 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 | 2.7K | $68.3K | $24.93 | 3.02x |
| 84403 | Testosterone (hormone) level, total | 1.8K | $48.1K | $26.25 | 2.95x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 677 | $37.3K | $55.10 | 2.67x |
This provider submits charges 2.81 times higher than what Medicare actually pays.
A markup ratio of 2.81x means for every $100 Medicare pays, this provider initially charges $281. 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 MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Incorporated Md | Baltimore, MD | $318.4M | ⚠️ Flagged |
| Genedx Llc | Gaithersburg, MD | $67.3M | ✓ Clear |
| Theranostix Inc | Beltsville, MD | $61.4M | ✓ Clear |
| Realtox Labs, Llc | Reisterstown, MD | $53.6M | ✓ Clear |
| Cirrus Dx, Inc. | Rockville, MD | $37.3M | ✓ 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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