This provider's $13.7M in total Medicare payments ranks in the 93th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 160% from 2020 to 2023.
63% 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 67% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $196.07 | $70.42 | 2.78x | $125.65 | $2.0M | 27.9K | 9 |
| 2021 | $240.87 | $68.60 | 3.51x | $172.27 | $3.3M | 47.9K | 8 |
| 2022 | $213.14 | $59.38 | 3.59x | $153.76 | $3.4M | 56.5K | 9 |
| 2023 | $63.89 | $23.43 | 2.73x | $40.46 | $5.1M | 218.2K | 10 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 138.7K | $8.6M | $62.10 | 3.57x |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 177.5K | $2.1M | $11.76 | 1.05x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 13.4K | $1.3M | $95.67 | 3.35x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 8.5K | $723.2K | $84.92 | 3.31x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 6.5K | $680.9K | $104.51 | 3.31x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 4.3K | $164.7K | $37.92 | 3.50x |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 558 | $91.4K | $163.86 | 3.24x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 870 | $67.2K | $77.27 | 3.21x |
| 88321 | Surgical pathology consultation and report on referred slides prepared elsewhere | 70 | $5.7K | $81.62 | 3.62x |
| 88323 | Surgical pathology consultation and report on referred material requiring preparation of slides | 48 | $4.7K | $98.86 | 3.47x |
This provider submits charges 3.13 times higher than what Medicare actually pays.
A markup ratio of 3.13x means for every $100 Medicare pays, this provider initially charges $313. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Clinical Laboratory providers in MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Incorporated Md | Baltimore, MD | $318.4M | ⚠️ Flagged |
| Genedx Llc | Gaithersburg, MD | $67.3M | ✓ Clear |
| Theranostix Inc | Beltsville, MD | $61.4M | ✓ Clear |
| Realtox Labs, Llc | Reisterstown, MD | $53.6M | ✓ Clear |
| Cirrus Dx, Inc. | Rockville, MD | $37.3M | ✓ Clear |
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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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