This provider averages 116 services per working day
Based on 144.9K total services over 5 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.4M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 116 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1079% from 2019 to 2023.
71% 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.
Notable: Payments increased 335% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $51.80 | $23.28 | 2.23x | $28.52 | $157.2K | 5.2K | 4.7K |
| 2020 | $72.52 | $31.79 | 2.28x | $40.73 | $339.8K | 10.5K | 9.1K |
| 2021 | $122.89 | $59.74 | 2.06x | $63.15 | $1.5M | 38.4K | 28.2K |
| 2022 | $125.15 | $62.38 | 2.01x | $62.77 | $1.6M | 40.7K | 30.4K |
| 2023 | $310.00 | $66.04 | 4.69x | $243.96 | $1.9M | 50.0K | 36.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 116.0K | $3.9M | $33.21 | 4.34x |
| 88342 | Tissue or cell analysis by immunologic technique | 14.6K | $824.2K | $56.64 | 3.05x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 5.8K | $397.7K | $69.14 | 2.83x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 5.2K | $128.1K | $24.73 | 4.15x |
| 88341 | Special stained specimen slides to examine tissue | 2.3K | $118.4K | $51.40 | 2.60x |
| 88346 | Antibody evaluation, initial single antibody stain procedure | 390 | $41.4K | $106.07 | 2.44x |
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 390 | $30.9K | $79.26 | 2.37x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 346 | $19.1K | $55.12 | 2.78x |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 12 | $1.4K | $113.75 | 4.68x |
This provider submits charges 3.96 times higher than what Medicare actually pays.
A markup ratio of 3.96x means for every $100 Medicare pays, this provider initially charges $396. 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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