This provider's $51.8M in total Medicare payments ranks in the 98th 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 | $204.99 | $47.23 | 4.34x | $157.76 | $8.0M | 168.7K | 39 |
| 2015 | $202.24 | $48.51 | 4.17x | $153.73 | $6.9M | 142.6K | 43 |
| 2016 | $211.64 | $48.70 | 4.35x | $162.94 | $5.6M | 115.3K | 45 |
| 2017 | $209.39 | $46.27 | 4.53x | $163.12 | $4.4M | 94.3K | 43 |
| 2018 | $223.31 | $44.71 | 4.99x | $178.60 | $4.3M | 96.2K | 47 |
| 2019 | $234.21 | $45.26 | 5.17x | $188.95 | $4.3M | 95.5K | 40 |
| 2020 | $240.39 | $50.25 | 4.78x | $190.14 | $4.5M | 90.0K | 44 |
| 2021 | $233.63 | $48.71 | 4.80x | $184.92 | $4.9M | 100.6K | 43 |
| 2022 | $241.30 | $48.08 | 5.02x | $193.22 | $4.5M | 93.4K | 43 |
| 2023 | $246.46 | $46.19 | 5.34x | $200.27 | $4.4M | 95.7K | 39 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88185 | Flow cytometry technique for dna or cell analysis, each additional marker | 516.2K | $13.2M | $25.53 | 5.84x |
| 81479 | Molecular pathology procedure | 11.9K | $5.3M | $444.17 | 2.96x |
| 88237 | Tissue culture for tumor disorders of bone marrow and blood cells | 22.8K | $3.5M | $153.23 | 4.39x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 91.2K | $3.2M | $35.26 | 4.13x |
| 88189 | Flow cytometry technique for dna or cell analysis, 16 or more markers | 41.4K | $3.0M | $71.89 | 5.53x |
| 88275 | Chromosome analysis for genetic defects, analyze 100-300 cells | 53.1K | $2.7M | $51.51 | 3.97x |
| 88264 | Chromosome analysis for genetic defects, analyze 20-25 cells | 14.4K | $2.2M | $150.66 | 3.86x |
| 88271 | Dna testing for genetic defects | 87.3K | $1.8M | $21.12 | 7.05x |
| 81450 | Targeted genomic sequence analysis panel of dna or combine dna and rna of 5-50 genes associated with blood and lymphatic system disorders | 1.6K | $1.2M | $748.60 | 5.68x |
| 88184 | Flow cytometry technique for dna or cell analysis, first marker | 21.7K | $1.2M | $53.21 | 3.76x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 41.1K | $1.1M | $26.10 | 7.04x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 36.6K | $1.1M | $28.88 | 6.57x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 26.5K | $1.0M | $39.44 | 3.61x |
| 81206 | Translocation analysis (bcr/abl1) major breakpoint | 4.3K | $938.9K | $217.74 | 2.84x |
| 81207 | Translocation analysis (bcr/abl1) minor breakpoint | 4.3K | $830.2K | $192.41 | 2.84x |
| 85097 | Bone marrow, smear interpretation | 11.5K | $699.9K | $60.77 | 7.12x |
| 88377 | Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure | 5.4K | $696.5K | $128.93 | 3.58x |
| 81235 | Gene analysis (epidermal growth factor receptor), common variants | 2.0K | $638.3K | $320.89 | 4.81x |
| 81406 | Molecular pathology procedure level 7 | 942 | $589.9K | $626.23 | 3.37x |
| 81270 | Gene analysis (janus kinase 2) variant | 5.3K | $588.4K | $110.42 | 3.98x |
This provider submits charges 4.68 times higher than what Medicare actually pays.
A markup ratio of 4.68x means for every $100 Medicare pays, this provider initially charges $468. 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 TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Aegis Sciences Corporation | Nashville, TN | $419.3M | ⚠️ Flagged |
| Memphis Pathology Laboratory | Memphis, TN | $198.3M | ⚠️ Flagged |
| Aegis Sciences Corporation | Nashville, TN | $63.5M | ✓ Clear |
| Laboratory Corporation Of America | Knoxville, TN | $56.9M | ⚠️ Flagged |
| Compass Laboratory Services Llc | Memphis, TN | $54.7M | ✓ 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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