This provider's $7.5M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 130% 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 | $467.99 | $148.94 | 3.14x | $319.05 | $564.4K | 3.8K | 3.6K |
| 2015 | $463.16 | $163.57 | 2.83x | $299.59 | $604.4K | 4.2K | 4.0K |
| 2016 | $492.89 | $165.79 | 2.97x | $327.10 | $370.2K | 3.2K | 3.1K |
| 2017 | $435.72 | $158.40 | 2.75x | $277.32 | $852.8K | 5.8K | 5.5K |
| 2018 | $387.23 | $135.82 | 2.85x | $251.41 | $756.7K | 5.0K | 4.7K |
| 2019 | $517.72 | $151.35 | 3.42x | $366.37 | $892.0K | 6.3K | 5.6K |
| 2020 | $483.29 | $122.78 | 3.94x | $360.51 | $1.0M | 7.8K | 6.6K |
| 2021 | $596.41 | $142.77 | 4.18x | $453.64 | $996.5K | 7.3K | 6.2K |
| 2022 | $724.58 | $163.28 | 4.44x | $561.30 | $767.5K | 5.8K | 5.1K |
| 2023 | $782.54 | $176.83 | 4.43x | $605.71 | $663.7K | 4.8K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88120 | Cell examination of urine | 5.1K | $2.8M | $551.52 | 2.89x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method, 10-20 specimens | 2.7K | $1.0M | $379.82 | 3.18x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 14.8K | $927.9K | $62.58 | 3.09x |
| 88112 | Cell examination of specimen | 16.3K | $861.6K | $53.00 | 3.92x |
| 88121 | Cell examination of urine | 1.6K | $730.4K | $443.72 | 5.05x |
| 88344 | Special stained specimen slides to examine tissue | 2.7K | $378.3K | $142.37 | 3.13x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 6.2K | $303.0K | $48.54 | 3.58x |
| 87507 | Detection test for digestive tract pathogen | 281 | $147.3K | $524.07 | 2.70x |
| 88342 | Tissue or cell analysis by immunologic technique | 1.6K | $114.3K | $70.10 | 3.39x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 416 | $35.8K | $86.05 | 3.24x |
| 81479 | Molecular pathology procedure | 57 | $23.8K | $417.89 | 2.30x |
| 88341 | Special stained specimen slides to examine tissue | 367 | $22.6K | $61.61 | 3.60x |
| 81313 | Test for detecting genes associated with prostate cancer | 44 | $22.1K | $501.90 | 1.91x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 82 | $21.2K | $258.27 | 3.19x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 250 | $19.9K | $79.56 | 3.77x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 134 | $8.4K | $62.49 | 3.82x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 54 | $7.4K | $137.85 | 3.11x |
| 87624 | Detection test for human papillomavirus (hpv) | 145 | $5.8K | $40.25 | 2.58x |
| 88175 | Pap test | 177 | $5.5K | $31.28 | 2.56x |
| 81287 | MGMT (O-6-methylguanine-DNA methyltransferase) gene analysis | 52 | $4.7K | $89.44 | 8.89x |
This provider submits charges 3.33 times higher than what Medicare actually pays.
A markup ratio of 3.33x means for every $100 Medicare pays, this provider initially charges $333. 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 Pathology providers in NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Mohammad Qureshi | Edison, NJ | $49.3M | ✓ 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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