This provider's $9.0M in total Medicare payments ranks in the 89th percentile of Clinical Laboratory providers nationally.
Their average markup ratio of 6.62x is significantly above the specialty median of 3.7x.
Medicare payments to this provider grew 128% from 2014 to 2023.
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 | $870.31 | $169.83 | 5.12x | $700.48 | $542.4K | 3.9K | 3.3K |
| 2015 | $950.26 | $149.92 | 6.34x | $800.34 | $650.0K | 5.4K | 4.6K |
| 2016 | $1.1K | $168.03 | 6.32x | $894.69 | $774.2K | 6.0K | 5.1K |
| 2017 | $950.21 | $143.45 | 6.62x | $806.76 | $836.1K | 6.6K | 5.5K |
| 2018 | $948.40 | $139.55 | 6.80x | $808.85 | $1.0M | 7.1K | 5.7K |
| 2019 | $1.3K | $175.45 | 7.28x | $1.1K | $1.2M | 7.9K | 6.0K |
| 2020 | $1.2K | $165.06 | 7.28x | $1.0K | $800.0K | 5.4K | 4.0K |
| 2021 | $1.1K | $152.79 | 7.01x | $918.86 | $1.0M | 8.5K | 6.2K |
| 2022 | $984.20 | $133.08 | 7.40x | $851.12 | $941.3K | 8.0K | 5.2K |
| 2023 | $981.80 | $126.68 | 7.75x | $855.12 | $1.2M | 9.4K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88120 | Cell examination of urine | 8.4K | $4.5M | $534.38 | 6.50x |
| 88121 | Cell examination of urine | 3.4K | $1.5M | $448.75 | 6.51x |
| 88342 | Tissue or cell analysis by immunologic technique | 9.8K | $645.9K | $65.93 | 6.70x |
| 88112 | Cell examination of specimen | 16.2K | $603.0K | $37.11 | 7.66x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 5.6K | $404.4K | $72.65 | 6.02x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 6.3K | $377.1K | $59.42 | 5.81x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 11.0K | $342.3K | $31.17 | 6.50x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method, 10-20 specimens | 867 | $254.6K | $293.63 | 7.63x |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | 1.7K | $126.6K | $74.73 | 6.69x |
| 88341 | Special stained specimen slides to examine tissue | 1.4K | $89.5K | $62.35 | 6.32x |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within | 1.7K | $41.5K | $24.84 | 20.13x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 424 | $23.8K | $56.02 | 5.09x |
| 88367 | Microscopic genetic analysis of tissue | 185 | $22.2K | $120.24 | 5.66x |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 683 | $15.9K | $23.23 | 4.31x |
| 88377 | Microscopic genetic examination manual | 45 | $14.7K | $325.81 | 6.17x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 147 | $8.0K | $54.14 | 5.05x |
| 88373 | Microscopic genetic examination using computer-assisted technology | 94 | $4.8K | $50.99 | 6.12x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 16 | $4.2K | $262.24 | 5.16x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 39 | $3.0K | $77.82 | 6.43x |
| 88160 | Screening examination of specimen cells | 39 | $1.7K | $44.02 | 6.82x |
This provider submits charges 6.62 times higher than what Medicare actually pays.
A markup ratio of 6.62x means for every $100 Medicare pays, this provider initially charges $662. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Northwell Health Laboratories | New Hyde Park, NY | $299.4M | ⚠️ Flagged |
| Sunrise Medical Laboratories, Inc. | Hicksville, NY | $281.2M | ⚠️ Flagged |
| Lenco Diagnostic Laboratories,inc. | Brooklyn, NY | $101.5M | ⚠️ Flagged |
| Enzo Clinical Labs, Inc. | Farmingdale, NY | $100.1M | ⚠️ Flagged |
| Cblpath, Inc | Rye Brook, NY | $94.4M | ✓ 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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