This provider averages 126 services per working day
Based on 315.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $17.2M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 126 services per working day raises questions about billing patterns.
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 | $407.35 | $180.59 | 2.26x | $226.76 | $1.5M | 7.7K | 6.4K |
| 2015 | $415.22 | $185.37 | 2.24x | $229.85 | $1.8M | 8.6K | 7.0K |
| 2016 | $473.70 | $211.92 | 2.24x | $261.78 | $1.7M | 7.7K | 6.5K |
| 2017 | $338.53 | $145.44 | 2.33x | $193.09 | $1.6M | 15.4K | 13.5K |
| 2018 | $230.54 | $102.87 | 2.24x | $127.67 | $1.9M | 25.4K | 22.2K |
| 2019 | $267.61 | $78.04 | 3.43x | $189.57 | $1.8M | 37.2K | 31.8K |
| 2020 | $263.71 | $73.55 | 3.59x | $190.16 | $1.7M | 39.5K | 33.4K |
| 2021 | $247.73 | $69.42 | 3.57x | $178.31 | $1.8M | 45.2K | 37.2K |
| 2022 | $242.37 | $66.97 | 3.62x | $175.40 | $1.8M | 66.1K | 51.7K |
| 2023 | $249.82 | $65.80 | 3.80x | $184.02 | $1.6M | 62.9K | 49.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88121 | Cell examination of urine | 12.7K | $5.9M | $463.53 | 2.67x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method, 10-20 specimens | 6.6K | $2.7M | $403.86 | 2.99x |
| 84153 | PSA (prostate specific antigen) measurement | 97.9K | $1.9M | $19.18 | 2.41x |
| 88112 | Cell examination of specimen | 27.4K | $1.6M | $57.72 | 4.29x |
| 88120 | Cell examination of urine | 1.6K | $935.4K | $572.10 | 3.47x |
| 84154 | PSA (prostate specific antigen) measurement | 33.3K | $640.8K | $19.27 | 2.38x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 2.1K | $553.6K | $257.74 | 2.32x |
| 84403 | Testosterone (hormone) level | 16.7K | $437.9K | $26.28 | 2.53x |
| 87635 | Sars-cov-2 covid-19 amp prb | 5.1K | $260.7K | $51.27 | 2.50x |
| 88344 | Special stained specimen slides to examine tissue | 1.4K | $208.7K | $152.20 | 2.33x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 3.4K | $193.5K | $56.97 | 4.39x |
| 87086 | Bacterial colony count, urine | 24.0K | $190.7K | $7.94 | 2.52x |
| 87482 | Detection test for candida species (yeast) | 3.4K | $184.3K | $54.85 | 2.28x |
| 86316 | Analysis for detection of tumor marker | 7.5K | $169.1K | $22.54 | 2.09x |
| 87798 | Detection test for organism | 3.8K | $138.5K | $36.16 | 2.53x |
| 82306 | Vitamin D-3 level | 4.1K | $119.3K | $29.37 | 2.25x |
| 87652 | Detection test for Strep (Streptococcus, group A) | 2.7K | $115.2K | $43.35 | 2.23x |
| 87661 | Detection test for Trichomonas vaginalis (genital parasite) | 2.7K | $99.2K | $36.46 | 2.45x |
| 87641 | Detection test for Staphylococcus aureus, methicillin resistant (MRSA bacteria) | 2.7K | $99.1K | $36.56 | 2.24x |
| 87653 | Detection test for Strep (Streptococcus, group B) | 2.7K | $99.0K | $36.56 | 2.46x |
This provider submits charges 2.85 times higher than what Medicare actually pays.
A markup ratio of 2.85x means for every $100 Medicare pays, this provider initially charges $285. This is higher than the national average.
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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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