This provider averages 195 services per working day
Based on 486.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $28.7M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 195 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 345% from 2014 to 2023.
63% 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 83% in 2015
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $52.33 | $39.54 | 1.32x | $12.79 | $834.9K | 21.1K | 6 |
| 2015 | $120.18 | $56.11 | 2.14x | $64.07 | $1.5M | 27.2K | 5 |
| 2016 | $152.56 | $59.95 | 2.54x | $92.61 | $2.3M | 38.0K | 7 |
| 2017 | $155.34 | $55.11 | 2.82x | $100.23 | $3.0M | 54.3K | 6 |
| 2018 | $158.53 | $57.90 | 2.74x | $100.63 | $3.3M | 57.7K | 7 |
| 2019 | $161.74 | $60.11 | 2.69x | $101.63 | $3.4M | 55.8K | 7 |
| 2020 | $164.68 | $62.61 | 2.63x | $102.07 | $3.4M | 54.8K | 7 |
| 2021 | $164.43 | $62.42 | 2.63x | $102.01 | $3.8M | 60.8K | 7 |
| 2022 | $166.11 | $61.47 | 2.70x | $104.64 | $3.5M | 56.7K | 7 |
| 2023 | $164.87 | $61.88 | 2.66x | $102.99 | $3.7M | 60.0K | 8 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 341.6K | $18.2M | $53.28 | 2.65x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 65.6K | $4.7M | $72.09 | 2.54x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 35.1K | $2.9M | $82.96 | 2.58x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 27.9K | $2.2M | $79.47 | 2.61x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 8.9K | $280.9K | $31.66 | 2.68x |
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 2.0K | $145.8K | $73.21 | 2.49x |
| 88346 | Antibody evaluation, initial single antibody stain procedure | 1.0K | $85.2K | $83.19 | 2.38x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 2.5K | $78.0K | $31.61 | 1.28x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 1.1K | $50.8K | $47.36 | 1.29x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 680 | $43.0K | $63.29 | 2.58x |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 35 | $4.8K | $136.45 | 2.56x |
This provider submits charges 2.61 times higher than what Medicare actually pays.
A markup ratio of 2.61x means for every $100 Medicare pays, this provider initially charges $261. 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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