This provider's $3.4M in total Medicare payments ranks in the 72th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 130% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 51959% in 2016
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 | $122.71 | $35.96 | 3.41x | $86.75 | $172.4K | 5.1K | 4.6K |
| 2015 | $117.25 | $31.46 | 3.73x | $85.79 | $346.07 | 11 | 11 |
| 2016 | $122.86 | $39.85 | 3.08x | $83.01 | $180.2K | 5.0K | 4.5K |
| 2017 | $136.06 | $40.42 | 3.37x | $95.64 | $415.5K | 12.5K | 10.6K |
| 2018 | $138.53 | $46.08 | 3.01x | $92.45 | $458.2K | 12.5K | 10.7K |
| 2019 | $143.32 | $44.01 | 3.26x | $99.31 | $480.9K | 13.1K | 11.2K |
| 2020 | $143.93 | $41.89 | 3.44x | $102.04 | $423.3K | 11.2K | 9.6K |
| 2021 | $135.24 | $38.33 | 3.53x | $96.91 | $440.0K | 12.3K | 10.7K |
| 2022 | $130.58 | $38.19 | 3.42x | $92.39 | $430.9K | 12.3K | 10.7K |
| 2023 | $130.07 | $40.81 | 3.19x | $89.26 | $396.7K | 12.1K | 10.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 55.8K | $1.8M | $33.00 | 4.23x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 4.1K | $271.5K | $65.99 | 1.97x |
| 88342 | Tissue or cell analysis by immunologic technique | 5.1K | $214.4K | $42.33 | 3.01x |
| 88321 | Surgical pathology consultation and report | 1.7K | $117.0K | $68.02 | 2.95x |
| 88309 | Pathology examination of tissue using a microscope, high complexity | 961 | $111.2K | $115.68 | 1.74x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 621 | $80.4K | $129.43 | 1.55x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 1.2K | $78.8K | $67.05 | 2.39x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 1.9K | $77.6K | $41.92 | 2.60x |
| 88341 | Special stained specimen slides to examine tissue | 2.3K | $69.4K | $30.41 | 3.40x |
| 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 | 1.9K | $58.8K | $31.00 | 2.26x |
| 88331 | Pathology examination of tissue during surgery | 1.1K | $56.6K | $50.06 | 3.24x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 4.3K | $54.9K | $12.65 | 4.01x |
| 88112 | Cell examination of specimen | 2.4K | $53.2K | $21.81 | 8.47x |
| 85060 | Blood smear interpretation by physician with written report | 1.6K | $28.2K | $18.10 | 4.64x |
| 88361 | Microscopic genetic analysis of tumor | 779 | $27.8K | $35.68 | 5.73x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 1.2K | $26.8K | $21.49 | 3.02x |
| 88323 | Surgical pathology consultation and report | 288 | $25.4K | $88.20 | 2.74x |
| 85097 | Bone marrow, smear interpretation | 547 | $24.9K | $45.53 | 4.20x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 2.0K | $21.0K | $10.32 | 3.96x |
| 38222 | Bone marrow biopsy and aspiration | 186 | $20.2K | $108.49 | 5.06x |
This provider submits charges 3.68 times higher than what Medicare actually pays.
A markup ratio of 3.68x means for every $100 Medicare pays, this provider initially charges $368. 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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