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 | $141.54 | $56.92 | 2.49x | $84.62 | $1.4M | 29.8K | 25.8K |
| 2015 | $129.84 | $57.92 | 2.24x | $71.92 | $1.5M | 29.9K | 26.3K |
| 2016 | $144.07 | $64.97 | 2.22x | $79.10 | $1.3M | 25.4K | 22.7K |
| 2017 | $146.36 | $66.90 | 2.19x | $79.46 | $1.1M | 23.6K | 20.7K |
| 2018 | $132.33 | $54.81 | 2.41x | $77.52 | $1.1M | 22.5K | 19.6K |
| 2019 | $138.18 | $52.55 | 2.63x | $85.63 | $1.0M | 21.7K | 18.6K |
| 2020 | $137.61 | $51.60 | 2.67x | $86.01 | $968.3K | 18.8K | 15.9K |
| 2021 | $150.47 | $60.03 | 2.51x | $90.44 | $1.1M | 20.4K | 17.1K |
| 2022 | $136.16 | $53.19 | 2.56x | $82.97 | $976.8K | 18.5K | 15.5K |
| 2023 | $173.11 | $68.56 | 2.52x | $104.55 | $832.2K | 14.8K | 12.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 82.3K | $4.2M | $50.71 | 4.27x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 5.7K | $653.3K | $114.39 | 1.92x |
| 88342 | Tissue or cell analysis by immunologic technique | 7.9K | $571.8K | $72.51 | 1.88x |
| 88175 | Pap test | 16.4K | $551.9K | $33.65 | 2.82x |
| 87624 | Detection test for human papillomavirus (hpv) | 10.8K | $473.4K | $43.67 | 1.83x |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | 14.8K | $454.7K | $30.70 | 3.09x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 6.2K | $439.7K | $71.47 | 1.46x |
| 88341 | Special stained specimen slides to examine tissue | 4.8K | $320.9K | $66.50 | 2.10x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method, 10-20 specimens | 991 | $295.2K | $297.91 | 3.95x |
| 88121 | Cell examination of urine | 772 | $294.0K | $380.81 | 2.45x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 8.4K | $257.8K | $30.67 | 4.70x |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 2.9K | $248.2K | $85.19 | 1.47x |
| 87661 | Detection test for Trichomonas vaginalis (genital parasite) | 3.8K | $156.2K | $41.11 | 1.95x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 730 | $151.2K | $207.10 | 1.54x |
| 87481 | Detection test for candida species (yeast) | 3.3K | $136.7K | $40.90 | 1.49x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 2.9K | $127.8K | $43.64 | 2.26x |
| 87511 | Detection test for gardnerella vaginalis (bacteria) | 2.9K | $121.6K | $42.60 | 1.41x |
| 88120 | Cell examination of urine, manual | 232 | $108.3K | $466.79 | 2.25x |
| 87621 | Detection test for human papillomavirus (HPV) | 2.3K | $108.0K | $46.76 | 2.01x |
| 88172 | Evaluation of fine needle aspirate | 2.4K | $99.1K | $41.49 | 4.14x |
This provider submits charges 3.08 times higher than what Medicare actually pays.
A markup ratio of 3.08x means for every $100 Medicare pays, this provider initially charges $308. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Clinical Pathology Laboratories, Inc. | Austin, TX | $541.0M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Irving, TX | $453.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Dallas, TX | $389.6M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Houston, TX | $311.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Houston, TX | $299.4M | ⚠️ Flagged |
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