⚠️ This provider averages 663 services per working day — physically unusual for an individual practitioner
Based on 1.5M total services over 9 years (250 working days/year). Learn about impossible service volumes →
This provider's $50.6M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 663 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1621% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2728% 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 | $180.00 | $54.72 | 3.29x | $125.28 | $221.1K | 4.0K | 4 |
| 2015 | $180.60 | $56.40 | 3.20x | $124.20 | $47.5K | 843 | 4 |
| 2017 | $46.43 | $30.36 | 1.53x | $16.07 | $1.3M | 44.3K | 20 |
| 2018 | $51.08 | $38.11 | 1.34x | $12.97 | $12.4M | 325.9K | 24 |
| 2019 | $47.50 | $34.13 | 1.39x | $13.37 | $10.6M | 311.5K | 24 |
| 2020 | $47.11 | $33.05 | 1.43x | $14.06 | $8.1M | 244.7K | 26 |
| 2021 | $47.62 | $33.30 | 1.43x | $14.32 | $8.8M | 264.9K | 30 |
| 2022 | $52.47 | $30.59 | 1.72x | $21.88 | $5.3M | 172.3K | 30 |
| 2023 | $65.04 | $31.07 | 2.09x | $33.97 | $3.8M | 122.5K | 26 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 512.3K | $19.2M | $37.41 | 1.26x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 142.9K | $11.7M | $82.17 | 1.36x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 98.6K | $5.2M | $53.20 | 2.40x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 127.1K | $4.8M | $37.74 | 1.21x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 38.9K | $2.3M | $60.18 | 1.32x |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 23.3K | $2.0M | $85.84 | 1.17x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 120.7K | $1.1M | $9.07 | 2.21x |
| 87070 | Bacterial culture, any other source except urine, blood or stool, aerobic | 99.4K | $909.5K | $9.15 | 2.73x |
| 87075 | Bacterial culture, any source, except blood, anaerobic | 78.7K | $789.4K | $10.03 | 1.99x |
| 87077 | Bacterial culture for aerobic isolates | 86.1K | $732.4K | $8.50 | 2.35x |
| 87205 | Special gram or giemsa stain for microorganism | 99.4K | $440.5K | $4.43 | 1.35x |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within | 10.2K | $254.1K | $25.00 | 1.00x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 2.5K | $199.3K | $79.66 | 2.36x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 2.5K | $178.8K | $71.17 | 1.82x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 681 | $148.7K | $218.36 | 1.65x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 4.5K | $143.9K | $31.64 | 2.36x |
| 87101 | Fungal culture (mold or yeast) of skin, hair, or nail | 14.5K | $118.8K | $8.18 | 2.96x |
| 87147 | Identification of organisms by immunologic analysis, other than immunofluorescence method | 12.8K | $73.6K | $5.75 | 2.61x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 1.9K | $66.6K | $34.92 | 1.29x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 469 | $57.1K | $121.78 | 1.38x |
This provider submits charges 1.49 times higher than what Medicare actually pays.
A markup ratio of 1.49x means for every $100 Medicare pays, this provider initially charges $149. This is lower 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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