This provider's $19.0M in total Medicare payments ranks in the 95th 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 | $109.94 | $56.57 | 1.94x | $53.37 | $1.6M | 30.5K | 24.1K |
| 2015 | $124.68 | $70.51 | 1.77x | $54.17 | $1.7M | 31.1K | 24.2K |
| 2016 | $107.97 | $58.41 | 1.85x | $49.56 | $1.8M | 32.4K | 25.2K |
| 2017 | $109.19 | $59.57 | 1.83x | $49.62 | $1.8M | 33.3K | 25.2K |
| 2018 | $102.16 | $56.08 | 1.82x | $46.08 | $1.9M | 34.3K | 26.1K |
| 2019 | $105.51 | $58.44 | 1.81x | $47.07 | $2.1M | 37.1K | 28.3K |
| 2020 | $112.07 | $65.42 | 1.71x | $46.65 | $2.0M | 35.0K | 26.9K |
| 2021 | $111.79 | $68.39 | 1.63x | $43.40 | $2.2M | 36.1K | 27.3K |
| 2022 | $108.75 | $67.02 | 1.62x | $41.73 | $2.0M | 33.9K | 25.7K |
| 2023 | $113.43 | $69.60 | 1.63x | $43.83 | $1.9M | 31.8K | 23.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 212.4K | $10.6M | $49.91 | 2.41x |
| 88342 | Tissue or cell analysis by immunologic technique | 50.1K | $3.9M | $77.63 | 1.61x |
| 88341 | Special stained specimen slides to examine tissue | 35.4K | $2.4M | $68.14 | 1.83x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 12.9K | $822.7K | $63.63 | 1.47x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 5.4K | $354.0K | $65.74 | 1.91x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 5.0K | $255.7K | $51.57 | 1.77x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 3.4K | $174.6K | $51.83 | 2.42x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 5.4K | $163.5K | $30.43 | 3.27x |
| 88346 | Antibody evaluation | 1.6K | $124.3K | $80.01 | 1.55x |
| 88350 | Antibody evaluation | 624 | $49.1K | $78.65 | 1.60x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 2.5K | $39.2K | $15.57 | 1.73x |
| 88344 | Special stained specimen slides to examine tissue | 347 | $37.5K | $107.99 | 1.28x |
| 88323 | Surgical pathology consultation and report | 377 | $36.7K | $97.44 | 1.79x |
| 88321 | Surgical pathology consultation and report | 59 | $4.5K | $76.88 | 1.53x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 13 | $3.1K | $235.74 | 1.37x |
| 88300 | Pathology examination of tissue using a microscope, limited examination | 26 | $324.17 | $12.47 | 2.33x |
This provider submits charges 2.11 times higher than what Medicare actually pays.
A markup ratio of 2.11x means for every $100 Medicare pays, this provider initially charges $211. 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 VA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Rca Laboratory Services, Llc | Glen Allen, VA | $76.0M | ✓ Clear |
| Quest Diagnostics Nichols Institute, Inc. | Chantilly, VA | $37.8M | ✓ Clear |
| Vista Clinical Diagnostics Llc | Danville, VA | $35.2M | ✓ 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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