This provider's $12.8M in total Medicare payments ranks in the 93th percentile of Clinical Laboratory providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $102.67 | $37.19 | 2.76x | $65.48 | $1.8M | 53.7K | 48.4K |
| 2015 | $117.88 | $45.42 | 2.60x | $72.46 | $2.0M | 55.9K | 50.3K |
| 2016 | $118.57 | $45.07 | 2.63x | $73.50 | $1.9M | 54.8K | 49.6K |
| 2017 | $121.62 | $45.99 | 2.64x | $75.63 | $1.4M | 42.2K | 38.1K |
| 2018 | $126.35 | $47.78 | 2.64x | $78.57 | $1.4M | 38.5K | 35.1K |
| 2019 | $119.14 | $43.28 | 2.75x | $75.86 | $1.3M | 39.0K | 35.3K |
| 2020 | $119.61 | $43.89 | 2.73x | $75.72 | $970.7K | 28.7K | 26.0K |
| 2021 | $128.12 | $48.40 | 2.65x | $79.72 | $826.3K | 25.1K | 22.9K |
| 2022 | $114.59 | $43.68 | 2.62x | $70.91 | $727.3K | 21.6K | 19.3K |
| 2023 | $121.17 | $43.73 | 2.77x | $77.44 | $605.8K | 18.4K | 16.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 137.6K | $4.8M | $35.22 | 5.18x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 18.0K | $1.3M | $72.16 | 3.28x |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | 26.4K | $823.8K | $31.26 | 1.65x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 20.3K | $627.8K | $30.87 | 1.92x |
| 88342 | Tissue or cell analysis by immunologic technique | 14.9K | $511.3K | $34.38 | 3.93x |
| 88309 | Pathology examination of tissue using a microscope, high complexity | 3.9K | $446.5K | $113.13 | 2.80x |
| 88112 | Cell examination of specimen | 15.5K | $445.2K | $28.70 | 3.15x |
| 88331 | Pathology examination of tissue during surgery | 8.3K | $436.5K | $52.64 | 3.18x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 1.7K | $399.3K | $240.67 | 3.00x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 4.8K | $325.9K | $67.66 | 2.67x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 19.3K | $260.0K | $13.44 | 8.77x |
| 88341 | Special stained specimen slides to examine tissue | 9.6K | $253.0K | $26.34 | 1.79x |
| 88360 | Microscopic genetic analysis of tumor | 4.1K | $201.8K | $48.91 | 2.28x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 10.0K | $189.1K | $18.87 | 2.92x |
| 88189 | Flow cytometry technique for DNA or cell analysis | 2.6K | $180.7K | $70.39 | 3.22x |
| 88175 | Pap test | 4.1K | $133.3K | $32.15 | 1.65x |
| 87624 | Detection test for human papillomavirus (hpv) | 4.3K | $133.0K | $30.68 | 3.74x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 9.5K | $95.8K | $10.07 | 4.26x |
| 88344 | Special stained specimen slides to examine tissue | 1.2K | $88.6K | $76.56 | 2.23x |
| 87591 | Detection test for Neisseria gonorrhoeae (gonorrhoeae bacteria) | 2.3K | $70.8K | $31.18 | 1.38x |
This provider submits charges 3.8 times higher than what Medicare actually pays.
A markup ratio of 3.8x means for every $100 Medicare pays, this provider initially charges $380. 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 AL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laboratory Corporation Of America Holdings | Birmingham, AL | $692.7M | ⚠️ Flagged |
| Eurofins Diatherix Laboratories Llc | Huntsville, AL | $37.8M | ✓ 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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