This provider's $16.9M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Medicare payments to this provider grew 551% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 102% in 2023
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 | $416.31 | $107.85 | 3.86x | $308.46 | $582.6K | 5.4K | 5 |
| 2015 | $440.24 | $113.33 | 3.88x | $326.91 | $780.0K | 6.9K | 5 |
| 2016 | $483.65 | $120.91 | 4.00x | $362.74 | $977.3K | 8.1K | 5 |
| 2017 | $493.14 | $114.61 | 4.30x | $378.53 | $996.1K | 8.7K | 7 |
| 2018 | $723.51 | $173.83 | 4.16x | $549.68 | $1.7M | 9.6K | 9 |
| 2019 | $766.32 | $179.23 | 4.28x | $587.09 | $2.2M | 12.1K | 7 |
| 2020 | $824.96 | $194.83 | 4.23x | $630.13 | $1.9M | 9.9K | 6 |
| 2021 | $753.31 | $199.97 | 3.77x | $553.34 | $2.2M | 10.8K | 7 |
| 2022 | $775.77 | $203.74 | 3.81x | $572.03 | $1.9M | 9.2K | 7 |
| 2023 | $749.57 | $202.67 | 3.70x | $546.90 | $3.8M | 18.7K | 7 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88120 | Cell examination of urine, manual | 13.4K | $7.9M | $591.84 | 3.81x |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 62.0K | $3.8M | $60.87 | 3.92x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 6.7K | $2.7M | $408.49 | 4.76x |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 12.3K | $2.1M | $166.81 | 3.62x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2.8K | $158.9K | $57.14 | 4.36x |
| 88121 | Cell examination of urine, computer-assisted | 257 | $116.5K | $453.29 | 3.89x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 1.0K | $92.6K | $91.14 | 3.43x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 851 | $81.7K | $96.02 | 3.86x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 16 | $3.9K | $244.32 | 3.91x |
| 88341 | Special stained specimen slides to examine tissue | 33 | $2.8K | $85.08 | 3.82x |
| 88363 | Microscopic genetic analysis of tissue | 20 | $497.80 | $24.89 | 3.06x |
This provider submits charges 3.97 times higher than what Medicare actually pays.
A markup ratio of 3.97x means for every $100 Medicare pays, this provider initially charges $397. 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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