⚠️ This provider averages 438 services per working day — physically unusual for an individual practitioner
Based on 547.7K total services over 5 years (250 working days/year). Learn about impossible service volumes →
This provider's $19.4M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 438 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1703% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 287% 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 |
|---|---|---|---|---|---|---|---|
| 2019 | $276.05 | $68.27 | 4.04x | $207.78 | $442.7K | 6.5K | 2 |
| 2020 | $175.81 | $38.62 | 4.55x | $137.19 | $1.0M | 26.9K | 46 |
| 2021 | $158.13 | $34.68 | 4.56x | $123.45 | $4.0M | 116.0K | 82 |
| 2022 | $153.21 | $35.71 | 4.29x | $117.50 | $5.9M | 166.0K | 75 |
| 2023 | $147.05 | $34.36 | 4.28x | $112.69 | $8.0M | 232.3K | 86 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 135.0K | $4.6M | $34.41 | 4.07x |
| 88377 | Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure | 6.7K | $2.7M | $398.55 | 3.76x |
| 88189 | Flow cytometry technique for dna or cell analysis, 16 or more markers | 32.8K | $2.5M | $76.33 | 3.93x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 30.9K | $2.1M | $68.85 | 4.07x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 49.3K | $1.7M | $34.38 | 4.07x |
| 88185 | Flow cytometry technique for dna or cell analysis, each additional marker | 49.9K | $1.1M | $22.43 | 5.30x |
| 88369 | Microscopic genetic analysis of tissue, manual, each additional procedure | 5.6K | $629.7K | $113.26 | 1.61x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 10.4K | $359.2K | $34.40 | 4.07x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 10.4K | $358.9K | $34.41 | 4.07x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 10.3K | $354.1K | $34.41 | 4.07x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 10.0K | $342.5K | $34.41 | 4.07x |
| 80053 | Blood test, comprehensive group of blood chemicals | 25.6K | $268.1K | $10.47 | 5.63x |
| 88368 | Microscopic genetic analysis of tissue, manual, initial procedure | 2.0K | $261.4K | $131.69 | 1.90x |
| 88374 | Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure | 5.8K | $233.3K | $40.18 | 4.98x |
| 88184 | Flow cytometry technique for dna or cell analysis, first marker | 2.2K | $151.7K | $70.08 | 4.28x |
| 82306 | Vitamin d-3 level | 5.1K | $149.8K | $29.36 | 5.11x |
| 84403 | Testosterone (hormone) level, total | 4.2K | $106.9K | $25.48 | 11.78x |
| 83615 | Lactate dehydrogenase (enzyme) level | 16.8K | $100.3K | $5.98 | 8.46x |
| 82728 | Ferritin (blood protein) level | 7.0K | $93.7K | $13.48 | 11.13x |
| 83735 | Magnesium level | 12.0K | $79.7K | $6.63 | 11.31x |
This provider submits charges 4.35 times higher than what Medicare actually pays.
A markup ratio of 4.35x means for every $100 Medicare pays, this provider initially charges $435. 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.
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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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