This provider's $12.1M in total Medicare payments ranks in the 92th 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $167.32 | $85.53 | 1.96x | $81.79 | $1.1M | 17.3K | 16.5K |
| 2015 | $169.60 | $79.78 | 2.13x | $89.82 | $1.0M | 14.9K | 14.3K |
| 2016 | $186.17 | $96.89 | 1.92x | $89.28 | $1.1M | 14.0K | 13.5K |
| 2017 | $216.62 | $97.68 | 2.22x | $118.94 | $1.1M | 13.2K | 12.8K |
| 2018 | $330.43 | $175.44 | 1.88x | $154.99 | $1.1M | 13.5K | 13.1K |
| 2019 | $391.95 | $195.92 | 2.00x | $196.03 | $1.3M | 14.8K | 14.3K |
| 2020 | $393.98 | $191.87 | 2.05x | $202.11 | $1.2M | 12.4K | 11.8K |
| 2021 | $354.55 | $176.67 | 2.01x | $177.88 | $1.3M | 13.1K | 12.6K |
| 2022 | $296.17 | $160.82 | 1.84x | $135.35 | $1.3M | 14.5K | 13.7K |
| 2023 | $806.51 | $256.97 | 3.14x | $549.54 | $1.5M | 15.1K | 14.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88321 | Surgical pathology consultation and report | 55.1K | $4.5M | $81.91 | 3.30x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 21.9K | $1.3M | $58.51 | 3.83x |
| 81455 | Test for detecting genes associated with cancer | 449 | $1.1M | $2.4K | 1.52x |
| 88323 | Surgical pathology consultation and report | 9.0K | $909.2K | $100.70 | 3.54x |
| 88342 | Tissue or cell analysis by immunologic technique | 10.8K | $890.9K | $82.55 | 2.71x |
| 88341 | Special stained specimen slides to examine tissue | 7.8K | $557.7K | $71.20 | 2.75x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 1.6K | $486.4K | $300.42 | 4.77x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 1.2K | $290.8K | $238.17 | 2.93x |
| 88360 | Microscopic genetic analysis of tumor | 2.6K | $277.6K | $106.46 | 2.37x |
| 88112 | Cell examination of specimen | 4.5K | $248.7K | $55.88 | 4.35x |
| 88142 | Pap test (Pap smear) | 6.6K | $160.6K | $24.15 | 3.13x |
| 88365 | Analysis of genetic material | 1.1K | $151.0K | $137.63 | 2.30x |
| 88344 | Special stained specimen slides to examine tissue | 1.0K | $145.5K | $142.13 | 2.56x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 2.1K | $120.6K | $56.71 | 2.04x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 740 | $94.2K | $127.33 | 2.05x |
| 88377 | Microscopic genetic examination manual | 239 | $82.2K | $344.03 | 2.15x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 1.1K | $78.8K | $72.10 | 1.70x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 1.1K | $75.6K | $67.23 | 1.98x |
| 81445 | Test for detecting genes associated with cancer of body organ | 118 | $69.3K | $587.40 | 2.55x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 1.8K | $63.4K | $35.55 | 4.01x |
This provider submits charges 3.09 times higher than what Medicare actually pays.
A markup ratio of 3.09x means for every $100 Medicare pays, this provider initially charges $309. 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 MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Incorporated Md | Baltimore, MD | $318.4M | โ ๏ธ Flagged |
| Genedx Llc | Gaithersburg, MD | $67.3M | โ Clear |
| Theranostix Inc | Beltsville, MD | $61.4M | โ Clear |
| Realtox Labs, Llc | Reisterstown, MD | $53.6M | โ Clear |
| Cirrus Dx, Inc. | Rockville, MD | $37.3M | โ 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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