This provider's $6.6M in total Medicare payments ranks in the 85th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 525% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 136% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $79.94 | $35.69 | 2.24x | $44.25 | $169.5K | 5.2K | 4.7K |
| 2015 | $109.94 | $49.15 | 2.24x | $60.79 | $200.1K | 5.4K | 4.9K |
| 2016 | $121.63 | $53.40 | 2.28x | $68.23 | $260.5K | 6.8K | 6.2K |
| 2017 | $129.80 | $53.81 | 2.41x | $75.99 | $321.5K | 9.0K | 8.0K |
| 2018 | $132.08 | $53.00 | 2.49x | $79.08 | $757.3K | 24.0K | 20.6K |
| 2019 | $120.87 | $44.82 | 2.70x | $76.05 | $942.2K | 31.3K | 25.3K |
| 2020 | $120.86 | $42.02 | 2.88x | $78.84 | $816.2K | 26.1K | 20.9K |
| 2021 | $113.31 | $43.68 | 2.59x | $69.63 | $1.0M | 30.1K | 24.3K |
| 2022 | $112.61 | $45.70 | 2.46x | $66.91 | $1.1M | 31.8K | 25.2K |
| 2023 | $118.95 | $45.68 | 2.60x | $73.27 | $1.1M | 31.7K | 24.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 133.3K | $3.5M | $26.26 | 6.74x |
| 88342 | Tissue or cell analysis by immunologic technique | 11.6K | $662.1K | $56.88 | 2.56x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 8.4K | $557.2K | $65.96 | 2.43x |
| 88341 | Special stained specimen slides to examine tissue | 6.0K | $308.0K | $51.72 | 2.81x |
| 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 | 9.8K | $300.7K | $30.54 | 2.13x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 833 | $171.3K | $205.58 | 3.55x |
| 88112 | Cell examination of specimen | 5.0K | $157.4K | $31.65 | 3.50x |
| 87624 | Detection test for human papillomavirus (hpv) | 3.4K | $121.6K | $35.70 | 1.56x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 4.5K | $110.2K | $24.50 | 5.70x |
| 88175 | Pap test | 2.6K | $84.9K | $32.54 | 2.00x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 1.2K | $78.3K | $67.13 | 2.19x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 1.3K | $69.3K | $54.03 | 2.76x |
| 88360 | Microscopic genetic analysis of tumor | 713 | $47.6K | $66.75 | 2.46x |
| 87480 | Detection test for candida species (yeast) | 1.8K | $42.1K | $23.32 | 1.41x |
| 87591 | Detection test for Neisseria gonorrhoeae (gonorrhoeae bacteria) | 1.2K | $42.1K | $35.74 | 1.82x |
| 87510 | Detection test for gardnerella vaginalis (bacteria) | 1.8K | $42.0K | $23.30 | 1.42x |
| 87660 | Detection test for Trichomonas vaginalis (genital parasite) | 1.8K | $42.0K | $23.32 | 1.42x |
| 87491 | Detection test for chlamydia | 1.2K | $41.8K | $35.58 | 1.82x |
| 88344 | Special stained specimen slides to examine tissue | 343 | $38.1K | $111.02 | 1.77x |
| 81513 | Measurement of rna of bacteria in vaginal fluid specimen | 170 | $23.8K | $139.80 | 1.12x |
This provider submits charges 4.77 times higher than what Medicare actually pays.
A markup ratio of 4.77x means for every $100 Medicare pays, this provider initially charges $477. This is higher than the national average.
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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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