This provider's $10.0M in total Medicare payments ranks in the 90th percentile of Clinical Laboratory providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $200.04 | $101.45 | 1.97x | $98.59 | $723.0K | 15.6K | 14.3K |
| 2015 | $193.00 | $94.99 | 2.03x | $98.01 | $864.5K | 15.5K | 14.3K |
| 2016 | $192.98 | $81.09 | 2.38x | $111.89 | $761.2K | 14.2K | 13.2K |
| 2017 | $279.84 | $99.96 | 2.80x | $179.88 | $971.3K | 18.6K | 16.9K |
| 2018 | $187.02 | $86.10 | 2.17x | $100.92 | $1.1M | 21.7K | 19.5K |
| 2019 | $233.45 | $97.70 | 2.39x | $135.75 | $1.2M | 22.0K | 19.7K |
| 2020 | $292.03 | $126.20 | 2.31x | $165.83 | $1.2M | 18.9K | 16.9K |
| 2021 | $291.76 | $124.28 | 2.35x | $167.48 | $1.2M | 18.4K | 16.8K |
| 2022 | $320.17 | $129.57 | 2.47x | $190.60 | $1.1M | 17.2K | 15.8K |
| 2023 | $305.60 | $112.73 | 2.71x | $192.87 | $833.4K | 14.9K | 13.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 53.7K | $1.5M | $28.13 | 6.47x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method, 10-20 specimens | 5.2K | $1.2M | $228.58 | 2.83x |
| 88112 | Cell examination of specimen | 20.3K | $693.3K | $34.17 | 3.47x |
| 88342 | Tissue or cell analysis by immunologic technique | 10.3K | $631.4K | $61.59 | 2.41x |
| 87624 | Detection test for human papillomavirus (hpv) | 12.0K | $469.5K | $39.00 | 2.32x |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | 14.4K | $446.6K | $31.00 | 2.52x |
| 81445 | Test for detecting genes associated with cancer of body organ | 606 | $355.8K | $587.05 | 3.40x |
| 88374 | Microscopic genetic examination using computer-assisted technology | 1.3K | $347.9K | $258.48 | 1.98x |
| 88341 | Special stained specimen slides to examine tissue | 6.1K | $338.7K | $55.27 | 2.48x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 4.5K | $334.0K | $73.76 | 2.32x |
| 88344 | Special stained specimen slides to examine tissue | 2.7K | $323.4K | $118.55 | 1.88x |
| 88360 | Microscopic genetic analysis of tumor | 3.6K | $265.6K | $73.42 | 2.47x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 1.5K | $251.6K | $172.32 | 2.37x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 3.6K | $244.1K | $67.56 | 2.52x |
| 81450 | Test for detecting genes associated with blood related cancer | 322 | $242.0K | $751.51 | 2.66x |
| 88121 | Cell examination of urine | 603 | $236.1K | $391.50 | 2.48x |
| 88175 | Pap test | 6.5K | $199.0K | $30.43 | 2.57x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 6.6K | $176.5K | $26.79 | 4.98x |
| 88381 | Preparation of specimen, manual | 1.3K | $167.5K | $124.70 | 2.13x |
| 88361 | Microscopic genetic analysis of tumor | 1.7K | $136.4K | $80.07 | 3.01x |
This provider submits charges 3.18 times higher than what Medicare actually pays.
A markup ratio of 3.18x means for every $100 Medicare pays, this provider initially charges $318. 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 WA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America | Seattle, WA | $203.1M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Seattle, WA | $97.9M | ⚠️ Flagged |
| Carenexa, Llc | Vancouver, WA | $70.5M | ✓ Clear |
| Adaptive Biotechnologies Corporation | Seattle, WA | $54.5M | ✓ Clear |
| Regional Toxicology Services, Llc | Tacoma, WA | $37.2M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data