This provider's $7.3M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Medicare payments to this provider grew 74% 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 | $95.77 | $73.13 | 1.31x | $22.64 | $563.2K | 7.1K | 6.6K |
| 2015 | $91.74 | $69.86 | 1.31x | $21.88 | $566.3K | 7.1K | 6.6K |
| 2016 | $97.59 | $73.41 | 1.33x | $24.18 | $606.4K | 7.3K | 6.7K |
| 2017 | $93.32 | $67.74 | 1.38x | $25.58 | $639.1K | 7.7K | 7.2K |
| 2018 | $93.12 | $69.31 | 1.34x | $23.81 | $663.8K | 7.8K | 7.4K |
| 2019 | $102.21 | $77.37 | 1.32x | $24.84 | $773.6K | 9.2K | 8.6K |
| 2020 | $88.88 | $69.91 | 1.27x | $18.97 | $660.2K | 7.7K | 7.1K |
| 2021 | $104.13 | $80.43 | 1.29x | $23.70 | $913.0K | 9.7K | 9.0K |
| 2022 | $112.68 | $87.55 | 1.29x | $25.13 | $914.9K | 9.8K | 9.0K |
| 2023 | $104.75 | $80.20 | 1.31x | $24.55 | $978.9K | 11.1K | 10.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 12.0K | $1.7M | $141.40 | 1.30x |
| 76536 | Ultrasound of head and neck | 9.3K | $1.0M | $109.50 | 1.29x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 13.7K | $880.6K | $64.32 | 1.30x |
| 10005 | Fine needle aspiration of first lesion using ultrasound guidance | 6.5K | $827.2K | $128.15 | 1.29x |
| 10022 | Fine needle aspiration using imaging guidance | 5.5K | $712.5K | $128.96 | 1.33x |
| 88172 | Evaluation of fine needle aspirate | 11.9K | $608.2K | $50.93 | 1.29x |
| 10006 | Fine needle aspiration of additional lesion using ultrasound guidance | 4.5K | $260.4K | $57.30 | 1.30x |
| 88342 | Tissue or cell analysis by immunologic technique | 2.6K | $238.0K | $91.22 | 1.30x |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | 2.3K | $194.9K | $85.20 | 1.28x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 3.2K | $185.1K | $58.59 | 1.37x |
| 99201 | New patient office or other outpatient visit, typically 10 minutes | 4.5K | $182.6K | $40.50 | 1.32x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.6K | $142.7K | $40.10 | 1.30x |
| 99202 | New patient outpatient visit, total time 15-29 minutes | 1.9K | $129.3K | $68.78 | 1.29x |
| 88341 | Special stained specimen slides to examine tissue | 1.2K | $76.2K | $62.60 | 1.42x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 920 | $63.3K | $68.79 | 1.32x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 382 | $36.0K | $94.30 | 1.32x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 166 | $9.6K | $57.68 | 1.44x |
| 99441 | Physician telephone patient service, 5-10 minutes of medical discussion | 229 | $6.0K | $26.32 | 1.26x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 98 | $3.7K | $37.70 | 1.43x |
| 88177 | Pap test | 74 | $2.0K | $26.56 | 1.28x |
This provider submits charges 1.3 times higher than what Medicare actually pays.
A markup ratio of 1.3x means for every $100 Medicare pays, this provider initially charges $130. This is lower 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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