This provider's $16.5M in total Medicare payments ranks in the 94th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 162% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 188% 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 | $155.76 | $55.45 | 2.81x | $100.31 | $586.4K | 11.2K | 10.0K |
| 2015 | $171.13 | $60.75 | 2.82x | $110.38 | $1.7M | 31.6K | 24.6K |
| 2016 | $167.45 | $62.06 | 2.70x | $105.39 | $1.9M | 32.6K | 24.9K |
| 2017 | $171.30 | $63.67 | 2.69x | $107.63 | $1.8M | 31.3K | 24.0K |
| 2018 | $172.29 | $63.42 | 2.72x | $108.87 | $2.0M | 33.9K | 25.9K |
| 2019 | $212.79 | $75.75 | 2.81x | $137.04 | $2.3M | 38.7K | 28.6K |
| 2020 | $239.44 | $96.74 | 2.48x | $142.70 | $1.7M | 24.5K | 19.1K |
| 2021 | $253.44 | $106.84 | 2.37x | $146.60 | $1.4M | 19.8K | 15.1K |
| 2022 | $231.70 | $92.96 | 2.49x | $138.74 | $1.5M | 19.3K | 14.9K |
| 2023 | $229.84 | $88.60 | 2.59x | $141.24 | $1.5M | 19.7K | 15.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 150.6K | $7.4M | $49.11 | 5.69x |
| 88342 | Tissue or cell analysis by immunologic technique | 47.5K | $3.8M | $79.03 | 2.11x |
| 88341 | Special stained specimen slides to examine tissue | 31.9K | $2.2M | $67.72 | 2.46x |
| 88309 | Pathology examination of tissue using a microscope, high complexity | 3.2K | $1.1M | $335.44 | 1.75x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 9.0K | $681.4K | $75.75 | 2.85x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 1.2K | $242.8K | $197.76 | 2.12x |
| 88344 | Special stained specimen slides to examine tissue | 1.9K | $222.8K | $118.28 | 1.93x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 3.2K | $166.1K | $52.13 | 1.89x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 5.2K | $156.0K | $30.11 | 5.87x |
| 88365 | Analysis of genetic material | 940 | $123.3K | $131.15 | 2.21x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 1.6K | $107.8K | $65.98 | 2.51x |
| 88323 | Surgical pathology consultation and report | 846 | $79.3K | $93.70 | 2.13x |
| 88364 | Cell examination | 655 | $67.9K | $103.65 | 1.91x |
| 88346 | Antibody evaluation | 619 | $53.8K | $86.88 | 1.79x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 722 | $34.9K | $48.33 | 3.34x |
| 88350 | Antibody evaluation | 507 | $33.5K | $66.15 | 2.36x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 199 | $23.2K | $116.61 | 3.06x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 1.4K | $20.6K | $15.22 | 3.16x |
| 88321 | Surgical pathology consultation and report | 248 | $18.3K | $73.76 | 2.03x |
| 88360 | Microscopic genetic analysis of tumor | 136 | $13.2K | $97.25 | 3.93x |
This provider submits charges 3.81 times higher than what Medicare actually pays.
A markup ratio of 3.81x means for every $100 Medicare pays, this provider initially charges $381. 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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