This provider's $11.2M in total Medicare payments ranks in the 91th 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 | $93.14 | $40.41 | 2.30x | $52.73 | $948.7K | 23.9K | 21.1K |
| 2015 | $123.53 | $48.99 | 2.52x | $74.54 | $937.5K | 22.5K | 19.8K |
| 2016 | $131.99 | $49.61 | 2.66x | $82.38 | $1.1M | 24.3K | 21.1K |
| 2017 | $131.12 | $48.35 | 2.71x | $82.77 | $1.1M | 24.3K | 20.8K |
| 2018 | $132.64 | $49.77 | 2.67x | $82.87 | $1.2M | 25.0K | 21.3K |
| 2019 | $135.06 | $49.20 | 2.75x | $85.86 | $1.2M | 26.8K | 23.0K |
| 2020 | $133.67 | $48.61 | 2.75x | $85.06 | $1.1M | 25.9K | 21.9K |
| 2021 | $140.76 | $47.21 | 2.98x | $93.55 | $1.2M | 28.2K | 23.6K |
| 2022 | $141.29 | $45.96 | 3.07x | $95.33 | $1.1M | 26.2K | 22.1K |
| 2023 | $156.39 | $48.35 | 3.23x | $108.04 | $1.2M | 28.9K | 24.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 131.7K | $5.6M | $42.20 | 3.15x |
| 88342 | Tissue or cell analysis by immunologic technique | 35.0K | $2.1M | $60.47 | 2.30x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 20.6K | $908.7K | $44.10 | 2.06x |
| 88341 | Special stained specimen slides to examine tissue | 12.3K | $553.2K | $45.02 | 2.26x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 3.9K | $256.7K | $65.70 | 2.19x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 13.1K | $236.2K | $18.05 | 3.42x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 1.1K | $197.9K | $175.28 | 3.21x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 2.9K | $184.6K | $64.77 | 2.29x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 5.7K | $130.9K | $23.06 | 2.13x |
| 88112 | Cell examination of specimen | 4.9K | $126.5K | $25.83 | 4.25x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 2.0K | $110.7K | $54.44 | 2.40x |
| 88309 | Pathology examination of tissue using a microscope, high complexity | 877 | $97.6K | $111.25 | 2.08x |
| 88344 | Special stained specimen slides to examine tissue | 1.2K | $93.2K | $80.02 | 2.23x |
| 88361 | Microscopic genetic analysis of tumor | 1.7K | $79.2K | $47.02 | 2.35x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 5.2K | $49.7K | $9.58 | 3.66x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 1.3K | $48.4K | $38.32 | 2.38x |
| 88346 | Antibody evaluation | 684 | $43.8K | $64.10 | 1.87x |
| 88172 | Evaluation of fine needle aspirate | 1.5K | $40.9K | $27.25 | 3.73x |
| 88331 | Pathology examination of tissue during surgery | 647 | $31.0K | $47.84 | 3.16x |
| 88350 | Antibody evaluation | 555 | $29.5K | $53.10 | 2.11x |
This provider submits charges 2.78 times higher than what Medicare actually pays.
A markup ratio of 2.78x means for every $100 Medicare pays, this provider initially charges $278. 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 TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Aegis Sciences Corporation | Nashville, TN | $419.3M | ⚠️ Flagged |
| Memphis Pathology Laboratory | Memphis, TN | $198.3M | ⚠️ Flagged |
| Aegis Sciences Corporation | Nashville, TN | $63.5M | ✓ Clear |
| Laboratory Corporation Of America | Knoxville, TN | $56.9M | ⚠️ Flagged |
| Compass Laboratory Services Llc | Memphis, TN | $54.7M | ✓ 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