This provider's $3.2M in total Medicare payments ranks in the 97th percentile of Slide Preparation Facility providers nationally.
99% of their billing comes from a single procedure code (88305 — Pathology examination of tissue using a microscope, intermediate complexity).
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 | $64.81 | $36.36 | 1.78x | $28.45 | $347.3K | 13.4K | 9.4K |
| 2015 | $75.00 | $42.50 | 1.76x | $32.50 | $360.3K | 12.8K | 9.0K |
| 2016 | $75.00 | $42.53 | 1.76x | $32.47 | $338.9K | 12.3K | 8.3K |
| 2017 | $65.98 | $42.24 | 1.56x | $23.74 | $313.2K | 12.9K | 8.7K |
| 2018 | $64.11 | $43.77 | 1.46x | $20.34 | $330.7K | 13.4K | 9.1K |
| 2019 | $62.32 | $36.22 | 1.72x | $26.10 | $339.2K | 13.5K | 9.1K |
| 2020 | $65.98 | $43.74 | 1.51x | $22.24 | $333.1K | 12.6K | 8.5K |
| 2021 | $65.98 | $44.85 | 1.47x | $21.13 | $321.4K | 11.4K | 7.8K |
| 2022 | $65.98 | $44.45 | 1.48x | $21.53 | $281.9K | 10.0K | 6.9K |
| 2023 | $64.11 | $45.18 | 1.42x | $18.93 | $271.0K | 9.6K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 121.3K | $3.2M | $26.37 | 2.09x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 573 | $34.0K | $59.40 | 1.36x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 67 | $3.2K | $47.32 | 1.28x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 31 | $787.86 | $25.41 | 2.16x |
This provider submits charges 2.08 times higher than what Medicare actually pays.
A markup ratio of 2.08x means for every $100 Medicare pays, this provider initially charges $208. This is higher 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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