This provider averages 138 services per working day
Based on 345.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.0M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Their average markup ratio of 14.37x is significantly above the specialty median of 4.6x.
Averaging 138 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 2123% from 2014 to 2023.
78% 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 2721% in 2017
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 | $177.33 | $30.57 | 5.80x | $146.76 | $53.4K | 1.9K | 1.6K |
| 2015 | $159.30 | $30.11 | 5.29x | $129.19 | $45.2K | 1.6K | 1.4K |
| 2016 | $185.13 | $37.36 | 4.96x | $147.77 | $29.7K | 852 | 804 |
| 2017 | $195.88 | $25.03 | 7.83x | $170.85 | $838.5K | 32.2K | 26.6K |
| 2018 | $189.09 | $25.58 | 7.39x | $163.51 | $1.3M | 52.1K | 40.3K |
| 2019 | $196.93 | $26.80 | 7.35x | $170.13 | $1.6M | 63.1K | 48.8K |
| 2020 | $224.43 | $33.95 | 6.61x | $190.48 | $1.8M | 68.8K | 54.0K |
| 2021 | $221.97 | $36.17 | 6.14x | $185.80 | $1.9M | 62.0K | 50.4K |
| 2022 | $438.49 | $63.70 | 6.88x | $374.79 | $1.2M | 30.7K | 26.7K |
| 2023 | $420.94 | $58.85 | 7.15x | $362.09 | $1.2M | 32.6K | 28.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 292.5K | $7.8M | $26.57 | 16.20x |
| 88342 | Tissue or cell analysis by immunologic technique | 17.3K | $873.0K | $50.60 | 6.92x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 11.5K | $601.0K | $52.47 | 6.03x |
| 88341 | Special stained specimen slides to examine tissue | 6.2K | $281.3K | $45.36 | 7.12x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 11.3K | $230.3K | $20.30 | 19.39x |
| 88346 | Antibody evaluation | 1.1K | $63.9K | $57.61 | 5.34x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 1.1K | $46.7K | $42.10 | 6.13x |
| 88350 | Antibody evaluation | 1.1K | $46.2K | $42.54 | 2.99x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 1.2K | $10.8K | $8.77 | 10.27x |
| 88344 | Special stained specimen slides to examine tissue | 102 | $9.7K | $94.66 | 4.24x |
| 88321 | Surgical pathology consultation and report | 140 | $9.6K | $68.29 | 3.88x |
| 80076 | Liver function blood test panel | 887 | $8.0K | $9.06 | 14.34x |
| 80053 | Blood test, comprehensive group of blood chemicals | 341 | $4.1K | $11.89 | 12.23x |
| 88365 | Analysis of genetic material | 38 | $4.0K | $104.12 | 5.19x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 128 | $3.1K | $24.58 | 7.24x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 39 | $2.7K | $69.33 | 4.99x |
| 88364 | Genetic sequencing localization, each additional procedure | 25 | $2.1K | $84.70 | 3.38x |
| 82565 | Blood creatinine level | 158 | $798.53 | $5.05 | 8.81x |
| 84460 | Liver enzyme (SGPT), level | 125 | $681.52 | $5.45 | 8.42x |
| 84520 | Urea nitrogen level to assess kidney function | 159 | $633.99 | $3.99 | 11.26x |
This provider submits charges 14.37 times higher than what Medicare actually pays.
A markup ratio of 14.37x means for every $100 Medicare pays, this provider initially charges $1437. 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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