This provider's $84.1M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 5.49x is significantly above the specialty median of 3.7x.
68% of their billing comes from a single procedure code (88361 — Microscopic genetic analysis of tumor, using computer-assisted technology).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 70% in 2016
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 | $412.03 | $101.93 | 4.04x | $310.10 | $4.7M | 46.5K | 5 |
| 2015 | $590.39 | $114.35 | 5.16x | $476.04 | $6.2M | 53.9K | 5 |
| 2016 | $612.94 | $109.12 | 5.62x | $503.82 | $10.5M | 96.0K | 5 |
| 2017 | $410.99 | $107.13 | 3.84x | $303.86 | $12.0M | 111.6K | 4 |
| 2018 | $463.29 | $101.76 | 4.55x | $361.53 | $14.0M | 137.5K | 4 |
| 2019 | $591.12 | $94.65 | 6.25x | $496.47 | $9.7M | 102.6K | 7 |
| 2020 | $616.72 | $84.31 | 7.31x | $532.41 | $6.7M | 79.3K | 8 |
| 2021 | $565.17 | $84.38 | 6.70x | $480.79 | $7.4M | 87.9K | 9 |
| 2022 | $545.33 | $86.43 | 6.31x | $458.90 | $7.0M | 81.5K | 5 |
| 2023 | $343.58 | $52.89 | 6.50x | $290.69 | $5.9M | 112.0K | 5 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88361 | Microscopic genetic analysis of tumor, using computer-assisted technology | 502.1K | $57.5M | $114.47 | 5.71x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 117.1K | $9.7M | $83.25 | 4.54x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 140.0K | $8.1M | $58.05 | 5.59x |
| 88104 | Cell examination of body fluid, smears | 108.2K | $6.7M | $62.24 | 4.86x |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 28.7K | $1.3M | $43.76 | 5.67x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 12.7K | $764.9K | $60.20 | 4.92x |
This provider submits charges 5.49 times higher than what Medicare actually pays.
A markup ratio of 5.49x means for every $100 Medicare pays, this provider initially charges $549. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Northwell Health Laboratories | New Hyde Park, NY | $299.4M | ⚠️ Flagged |
| Sunrise Medical Laboratories, Inc. | Hicksville, NY | $281.2M | ⚠️ Flagged |
| Lenco Diagnostic Laboratories,inc. | Brooklyn, NY | $101.5M | ⚠️ Flagged |
| Enzo Clinical Labs, Inc. | Farmingdale, NY | $100.1M | ⚠️ Flagged |
| Cblpath, Inc | Rye Brook, NY | $94.4M | ✓ Clear |
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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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