⚠️ This provider averages 216 services per working day — physically unusual for an individual practitioner
Based on 540.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.0M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 216 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 6481% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1742% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $144.69 | $30.85 | 4.69x | $113.84 | $49.9K | 1.6K | 16 |
| 2015 | $117.33 | $29.73 | 3.95x | $87.60 | $61.8K | 2.1K | 20 |
| 2016 | $114.66 | $29.99 | 3.82x | $84.67 | $58.4K | 1.9K | 17 |
| 2017 | $122.75 | $30.82 | 3.98x | $91.93 | $58.6K | 1.9K | 19 |
| 2018 | $133.04 | $29.20 | 4.56x | $103.84 | $57.7K | 2.0K | 17 |
| 2019 | $125.57 | $29.32 | 4.28x | $96.25 | $181.3K | 6.2K | 20 |
| 2020 | $152.92 | $29.10 | 5.25x | $123.82 | $127.0K | 4.4K | 18 |
| 2021 | $177.14 | $28.49 | 6.22x | $148.65 | $108.3K | 3.8K | 24 |
| 2022 | $24.04 | $9.80 | 2.45x | $14.24 | $2.0M | 203.5K | 93 |
| 2023 | $23.71 | $10.50 | 2.26x | $13.21 | $3.3M | 313.1K | 114 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 80053 | Blood test, comprehensive group of blood chemicals | 66.8K | $687.4K | $10.29 | 2.16x |
| 36415 | Insertion of needle into vein for collection of blood sample | 97.6K | $574.5K | $5.89 | 1.34x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 29.6K | $486.5K | $16.43 | 2.07x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 34.6K | $451.5K | $13.05 | 2.07x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 52.9K | $400.7K | $7.57 | 2.11x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 12.7K | $382.3K | $30.11 | 5.26x |
| 82306 | Vitamin d-3 level | 11.9K | $344.9K | $28.88 | 2.08x |
| 83970 | Parathormone (parathyroid hormone) level | 6.5K | $261.7K | $40.36 | 2.06x |
| 83036 | Hemoglobin a1c level | 24.5K | $231.6K | $9.46 | 2.11x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 12.0K | $175.9K | $14.70 | 2.11x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 5.7K | $129.0K | $22.48 | 6.80x |
| 84153 | Psa (prostate specific antigen) measurement, total | 6.7K | $120.2K | $17.92 | 2.07x |
| 82728 | Ferritin (blood protein) level | 8.4K | $112.0K | $13.26 | 2.11x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 1.6K | $105.6K | $66.68 | 5.29x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 12.7K | $105.0K | $8.24 | 2.06x |
| 84439 | Thyroxine (thyroid chemical), free | 11.6K | $102.3K | $8.79 | 2.16x |
| 82746 | Folic acid level, serum | 5.0K | $71.3K | $14.34 | 2.09x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 2.4K | $67.2K | $28.46 | 6.49x |
| 83550 | Iron binding capacity | 7.5K | $64.1K | $8.50 | 2.12x |
| 81001 | Manual urinalysis test with examination using microscope, automated | 19.2K | $59.4K | $3.09 | 2.27x |
This provider submits charges 2.61 times higher than what Medicare actually pays.
A markup ratio of 2.61x means for every $100 Medicare pays, this provider initially charges $261. 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 Pathology providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Ryan Olson, MD | Fort Myers, FL | $54.3M | ⚠️ Flagged |
| Wilfredo Blasini, M.D. | Fort Myers, FL | $35.8M | ⚠️ Flagged |
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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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