This provider's $3.6M in total Medicare payments ranks in the 97th percentile of All Other Suppliers providers nationally.
Medicare payments to this provider grew 100% from 2016 to 2023.
99% 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.
Notable: Payments increased 155% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $63.65 | $49.89 | 1.28x | $13.76 | $216.7K | 6.6K | 5.4K |
| 2017 | $60.44 | $47.30 | 1.28x | $13.14 | $553.2K | 19.9K | 12.8K |
| 2018 | $60.48 | $46.24 | 1.31x | $14.24 | $549.9K | 20.4K | 13.3K |
| 2019 | $61.58 | $47.94 | 1.28x | $13.64 | $538.5K | 19.4K | 12.7K |
| 2020 | $65.20 | $51.07 | 1.28x | $14.13 | $424.0K | 14.3K | 9.6K |
| 2021 | $39.60 | $31.34 | 1.26x | $8.26 | $475.1K | 15.2K | 10.0K |
| 2022 | $70.82 | $55.85 | 1.27x | $14.97 | $454.2K | 14.2K | 9.5K |
| 2023 | $72.53 | $56.86 | 1.28x | $15.67 | $432.7K | 13.2K | 9.0K |
This provider submits charges 1.29 times higher than what Medicare actually pays.
A markup ratio of 1.29x means for every $100 Medicare pays, this provider initially charges $129. This is lower 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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