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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Heartland Pathology Pa
๐Ÿ”ฌ
Organization

Heartland Pathology Pa

NPI: 1386624518
Wichita, KS
10 years of data
Clinical Laboratory
$4.3M
Total Payments
81.0K
Beneficiaries
126.6K
Services
5.09x
Markup Ratio

Peer Comparison

78th
percentile in specialty
This provider$4.3M
Specialty median$1.9M

๐Ÿ“‹ Key Findings

1Billed $4.3M over 10 years
25.09x markup ratio (above median)
317 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $4.3M in total Medicare payments ranks in the 78th percentile of Clinical Laboratory providers nationally.

Their average markup ratio of 5.09x is significantly above the specialty median of 3.7x.

Medicare payments to this provider grew 69% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$187.79$37.525.01x$150.27$312.1K9.4K6.0K
2015$200.54$36.115.55x$164.43$354.1K10.9K7.3K
2016$186.67$39.754.70x$146.92$395.5K11.8K7.5K
2017$201.47$42.224.77x$159.25$429.5K10.8K8.0K
2018$186.01$38.254.86x$147.76$427.8K12.8K8.3K
2019$196.01$40.304.86x$155.71$460.0K13.9K8.8K
2020$182.94$36.814.97x$146.13$434.7K13.1K8.2K
2021$190.29$38.754.91x$151.54$456.2K13.7K8.4K
2022$199.53$41.774.78x$157.76$517.5K15.2K9.0K
2023$179.01$39.094.58x$139.92$527.7K15.1K9.4K

Top Procedures (20)

88305Pathology examination of tissue using a microscope, intermediate complexityโš  6.0x markup
$1.5M
54.1K services$26.95/svc6.05x markup
88342Tissue or cell analysis by immunologic techniqueโš  4.0x markup
$696.7K
18.8K services$36.99/svc4.00x markup
88307Pathology examination of tissue using a microscope, moderately high complexityโš  4.5x markup
$433.6K
6.3K services$68.78/svc4.49x markup
G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method, 10-20 specimensโš  7.1x markup
$389.6K
2.9K services$133.79/svc7.08x markup
88341Special stained specimen slides to examine tissueโš  3.6x markup
$296.1K
9.4K services$31.34/svc3.63x markup
88108Cell examination of specimenโš  4.8x markup
$188.3K
8.1K services$23.12/svc4.82x markup
88360Microscopic genetic analysis of tumorโš  3.4x markup
$137.0K
3.3K services$42.02/svc3.43x markup
88173Evaluation of fine needle aspirate with interpretation and reportโš  3.6x markup
$96.8K
1.9K services$51.73/svc3.57x markup
88309Pathology examination of tissue using a microscope, high complexityโš  4.3x markup
$83.2K
710 services$117.15/svc4.26x markup
88312Special stained specimen slides to identify organisms including interpretation and report
$73.7K
2.7K services$27.73/svc2.87x markup
88331Pathology examination of tissue during surgeryโš  4.5x markup
$72.3K
1.9K services$38.32/svc4.55x markup
88304Pathology examination of tissue using a microscope, moderately low complexityโš  8.7x markup
$51.9K
4.1K services$12.79/svc8.69x markup
88321Surgical pathology consultation and reportโš  3.6x markup
$45.5K
651 services$69.84/svc3.58x markup
G0461Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain
$27.0K
860 services$31.38/svc2.63x markup
88365Analysis of genetic materialโš  6.5x markup
$26.1K
496 services$52.62/svc6.52x markup
88332Pathology examination of specimen during surgeryโš  6.6x markup
$25.8K
1.4K services$18.71/svc6.59x markup
88323Surgical pathology consultation and reportโš  3.4x markup
$23.5K
504 services$46.62/svc3.44x markup
88333Pathology examination of tissue specimen during surgeryโš  3.8x markup
$22.1K
550 services$40.10/svc3.82x markup
88334Pathology examination of specimen during surgeryโš  3.2x markup
$21.3K
778 services$27.36/svc3.24x markup
G0462Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure)
$15.3K
647 services$23.64/svc2.61x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
88305Pathology examination of tissue using a microscope, intermediate complexity54.1K$1.5M$26.956.05x
88342Tissue or cell analysis by immunologic technique18.8K$696.7K$36.994.00x
88307Pathology examination of tissue using a microscope, moderately high complexity6.3K$433.6K$68.784.49x
G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method, 10-20 specimens2.9K$389.6K$133.797.08x
88341Special stained specimen slides to examine tissue9.4K$296.1K$31.343.63x
88108Cell examination of specimen8.1K$188.3K$23.124.82x
88360Microscopic genetic analysis of tumor3.3K$137.0K$42.023.43x
88173Evaluation of fine needle aspirate with interpretation and report1.9K$96.8K$51.733.57x
88309Pathology examination of tissue using a microscope, high complexity710$83.2K$117.154.26x
88312Special stained specimen slides to identify organisms including interpretation and report2.7K$73.7K$27.732.87x
88331Pathology examination of tissue during surgery1.9K$72.3K$38.324.55x
88304Pathology examination of tissue using a microscope, moderately low complexity4.1K$51.9K$12.798.69x
88321Surgical pathology consultation and report651$45.5K$69.843.58x
G0461Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain860$27.0K$31.382.63x
88365Analysis of genetic material496$26.1K$52.626.52x
88332Pathology examination of specimen during surgery1.4K$25.8K$18.716.59x
88323Surgical pathology consultation and report504$23.5K$46.623.44x
88333Pathology examination of tissue specimen during surgery550$22.1K$40.103.82x
88334Pathology examination of specimen during surgery778$21.3K$27.363.24x
G0462Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure)647$15.3K$23.642.61x

Markup Analysis

Charge-to-Payment Ratio

5.09x

This provider submits charges 5.09 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.09x means for every $100 Medicare pays, this provider initially charges $509. This is higher than the national average.

Location

Wichita, KS

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Clinical Laboratory providers in KS for peer comparison.

Heartland Pathology Pa (you)
$4.3M
Labone Llcโš ๏ธ
$435.5M
Laboratory Corporation Of America Holdingsโš ๏ธ
$47.4M
Eurofins Transplant Genomics, Llc
$44.8M
Cotton O'neil Clinic Revocable Trustโš ๏ธ
$37.9M
Biodesix, Inc.
$36.2M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Labone LlcLenexa, KS$435.5Mโš ๏ธ Flagged
Laboratory Corporation Of America HoldingsOverland Park, KS$47.4Mโš ๏ธ Flagged
Eurofins Transplant Genomics, LlcLenexa, KS$44.8Mโœ“ Clear
Cotton O'neil Clinic Revocable TrustTopeka, KS$37.9Mโš ๏ธ Flagged
Biodesix, Inc.De Soto, KS$36.2Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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