This provider's $3.3M in total Medicare payments ranks in the 71th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 4881% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 3835% 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 |
|---|---|---|---|---|---|---|---|
| 2016 | $143.35 | $76.12 | 1.88x | $67.23 | $11.7K | 173 | 172 |
| 2017 | $171.09 | $83.14 | 2.06x | $87.95 | $460.0K | 11.0K | 10.0K |
| 2018 | $178.42 | $88.00 | 2.03x | $90.42 | $133.2K | 2.7K | 2.6K |
| 2019 | $171.01 | $81.16 | 2.11x | $89.85 | $474.1K | 10.8K | 9.9K |
| 2020 | $191.02 | $76.42 | 2.50x | $114.60 | $457.0K | 10.2K | 9.6K |
| 2021 | $217.01 | $78.55 | 2.76x | $138.46 | $592.1K | 13.0K | 12.1K |
| 2022 | $236.68 | $73.17 | 3.23x | $163.51 | $611.7K | 14.3K | 13.3K |
| 2023 | $266.45 | $73.42 | 3.63x | $193.03 | $582.3K | 14.1K | 12.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88112 | Cell examination of specimen | 36.5K | $1.3M | $35.32 | 2.78x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 24.8K | $858.6K | $34.69 | 3.78x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 2.3K | $272.2K | $120.99 | 1.73x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 988 | $252.5K | $255.57 | 5.71x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 2.4K | $192.0K | $79.47 | 1.43x |
| 88342 | Tissue or cell analysis by immunologic technique | 2.2K | $145.0K | $66.08 | 2.10x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 3.7K | $110.3K | $29.43 | 4.23x |
| 88341 | Special stained specimen slides to examine tissue | 1.4K | $86.1K | $60.96 | 2.18x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 649 | $42.4K | $65.28 | 1.70x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 180 | $33.7K | $187.45 | 1.34x |
| 88344 | Special stained specimen slides to examine tissue | 209 | $22.7K | $108.80 | 1.39x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 409 | $6.2K | $15.24 | 3.29x |
| 88302 | Pathology examination of tissue using a microscope | 180 | $4.8K | $26.72 | 2.94x |
| 88300 | Pathology examination of tissue using a microscope, limited examination | 344 | $3.5K | $10.23 | 6.32x |
| 88161 | Screening examination of specimen cells | 63 | $2.5K | $39.39 | 1.76x |
This provider submits charges 3.07 times higher than what Medicare actually pays.
A markup ratio of 3.07x means for every $100 Medicare pays, this provider initially charges $307. 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 NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Raritan, NJ | $1.2B | ⚠️ Flagged |
| Quest Diagnostics Incorporated | Clifton, NJ | $927.2M | ⚠️ Flagged |
| Bioreference Health, Llc | Elmwood Park, NJ | $841.0M | ⚠️ Flagged |
| Accu Reference Medical Lab, Llc | Linden, NJ | $204.9M | ⚠️ Flagged |
| Aculabs Inc | East Brunswick, NJ | $91.5M | ✓ 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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