This provider's $15.0M in total Medicare payments ranks in the 94th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 211% from 2014 to 2023.
67% of their billing comes from a single procedure code (88305 — Pathology examination of tissue using a microscope, intermediate complexity).
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 | $189.28 | $94.17 | 2.01x | $95.11 | $643.6K | 11.4K | 9.2K |
| 2015 | $169.42 | $79.60 | 2.13x | $89.82 | $945.4K | 16.1K | 12.7K |
| 2016 | $230.50 | $99.33 | 2.32x | $131.17 | $1.2M | 20.8K | 16.1K |
| 2017 | $220.50 | $91.99 | 2.40x | $128.51 | $1.3M | 25.0K | 18.8K |
| 2018 | $222.50 | $88.98 | 2.50x | $133.52 | $1.5M | 26.8K | 20.5K |
| 2019 | $224.96 | $95.37 | 2.36x | $129.59 | $1.7M | 29.0K | 22.6K |
| 2020 | $225.01 | $97.19 | 2.32x | $127.82 | $1.7M | 27.8K | 21.6K |
| 2021 | $231.00 | $101.53 | 2.28x | $129.47 | $2.0M | 32.3K | 25.1K |
| 2022 | $233.69 | $101.78 | 2.30x | $131.91 | $2.0M | 33.6K | 25.8K |
| 2023 | $223.22 | $97.34 | 2.29x | $125.88 | $2.0M | 34.3K | 26.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 191.6K | $10.1M | $52.50 | 2.75x |
| 88342 | Tissue or cell analysis by immunologic technique | 24.3K | $1.9M | $80.30 | 1.90x |
| 88341 | Special stained specimen slides to examine tissue | 14.8K | $1.0M | $69.41 | 2.20x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 10.0K | $801.0K | $79.81 | 1.96x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 4.2K | $239.4K | $57.37 | 1.98x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method, 10-20 specimens | 461 | $147.3K | $319.42 | 2.39x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 4.5K | $142.9K | $31.85 | 2.89x |
| 88321 | Surgical pathology consultation and report | 1.8K | $135.3K | $74.57 | 2.36x |
| 88346 | Antibody evaluation | 1.3K | $117.6K | $90.70 | 1.68x |
| 88323 | Surgical pathology consultation and report | 960 | $82.0K | $85.44 | 3.16x |
| 88350 | Antibody evaluation | 810 | $62.7K | $77.35 | 1.87x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 922 | $62.0K | $67.24 | 2.28x |
| 88344 | Special stained specimen slides to examine tissue | 369 | $46.6K | $126.31 | 1.55x |
| 88365 | Analysis of genetic material | 277 | $39.2K | $141.44 | 2.26x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 499 | $25.6K | $51.32 | 2.98x |
| 88112 | Cell examination of specimen | 359 | $18.3K | $50.91 | 2.77x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 17 | $3.8K | $222.17 | 1.50x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 51 | $831.84 | $16.31 | 1.66x |
This provider submits charges 2.52 times higher than what Medicare actually pays.
A markup ratio of 2.52x means for every $100 Medicare pays, this provider initially charges $252. 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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