This provider averages 82 services per working day
Based on 205.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $19.4M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 82 services per working day raises questions about billing patterns.
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 | $220.03 | $84.51 | 2.60x | $135.52 | $2.6M | 25.4K | 22.5K |
| 2015 | $170.86 | $75.08 | 2.28x | $95.78 | $3.0M | 28.3K | 24.6K |
| 2016 | $208.27 | $80.87 | 2.58x | $127.40 | $3.0M | 28.8K | 25.1K |
| 2017 | $295.47 | $76.18 | 3.88x | $219.29 | $2.7M | 30.2K | 26.5K |
| 2018 | $268.76 | $74.12 | 3.63x | $194.64 | $2.2M | 26.7K | 23.4K |
| 2019 | $174.68 | $67.63 | 2.58x | $107.05 | $1.8M | 21.1K | 19.3K |
| 2020 | $189.32 | $70.79 | 2.67x | $118.53 | $1.8M | 19.9K | 18.0K |
| 2021 | $181.46 | $74.36 | 2.44x | $107.10 | $1.9M | 21.4K | 19.2K |
| 2022 | $166.41 | $64.05 | 2.60x | $102.36 | $280.0K | 3.4K | 3.3K |
| 2023 | $538.11 | $171.71 | 3.13x | $366.40 | $26.5K | 132 | 131 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88120 | Cell examination of urine | 17.2K | $7.9M | $461.13 | 2.94x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method, 10-20 specimens | 11.6K | $4.0M | $342.14 | 3.42x |
| 88112 | Cell examination of specimen | 53.9K | $2.3M | $41.92 | 3.35x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 20.5K | $991.5K | $48.27 | 3.02x |
| 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 | 5.3K | $468.7K | $89.01 | 1.25x |
| 88344 | Special stained specimen slides to examine tissue | 3.5K | $440.1K | $127.11 | 2.98x |
| 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 | 10.4K | $331.3K | $31.80 | 2.14x |
| 84153 | PSA (prostate specific antigen) measurement | 12.9K | $311.8K | $24.09 | 2.42x |
| 88342 | Tissue or cell analysis by immunologic technique | 4.1K | $304.7K | $74.52 | 3.03x |
| 88175 | Pap test | 9.0K | $274.3K | $30.51 | 2.53x |
| 87624 | Detection test for human papillomavirus (hpv) | 6.2K | $259.6K | $41.69 | 2.56x |
| 81313 | Test for detecting genes associated with prostate cancer | 581 | $180.0K | $309.74 | 1.45x |
| 87661 | Detection test for Trichomonas vaginalis (genital parasite) | 3.4K | $139.0K | $41.46 | 2.63x |
| 81479 | Molecular pathology procedure | 404 | $138.1K | $341.84 | 1.03x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 2.5K | $135.5K | $53.60 | 2.92x |
| 87481 | Detection test for candida species (yeast) | 3.1K | $127.2K | $41.11 | 2.69x |
| 87798 | Detection test for organism | 3.0K | $117.5K | $39.71 | 2.63x |
| 87511 | Detection test for gardnerella vaginalis (bacteria) | 2.7K | $105.7K | $39.36 | 2.62x |
| 88341 | Special stained specimen slides to examine tissue | 1.7K | $94.8K | $55.20 | 2.94x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 388 | $76.1K | $196.18 | 3.23x |
This provider submits charges 2.97 times higher than what Medicare actually pays.
A markup ratio of 2.97x means for every $100 Medicare pays, this provider initially charges $297. 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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