This provider's $14.3M in total Medicare payments ranks in the 93th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 142% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 67% in 2015
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 | $120.33 | $53.99 | 2.23x | $66.34 | $570.1K | 10.0K | 9.4K |
| 2015 | $161.66 | $87.18 | 1.85x | $74.48 | $951.0K | 11.4K | 10.8K |
| 2016 | $157.08 | $89.73 | 1.75x | $67.35 | $1.3M | 13.7K | 12.7K |
| 2017 | $153.12 | $87.46 | 1.75x | $65.66 | $1.6M | 15.8K | 14.6K |
| 2018 | $150.70 | $84.55 | 1.78x | $66.15 | $1.8M | 17.0K | 15.7K |
| 2019 | $157.05 | $90.23 | 1.74x | $66.82 | $1.7M | 19.6K | 18.0K |
| 2020 | $132.25 | $70.37 | 1.88x | $61.88 | $1.6M | 23.3K | 21.0K |
| 2021 | $132.36 | $71.82 | 1.84x | $60.54 | $2.0M | 33.0K | 28.8K |
| 2022 | $114.45 | $58.73 | 1.95x | $55.72 | $1.5M | 26.0K | 23.2K |
| 2023 | $109.82 | $52.75 | 2.08x | $57.07 | $1.4M | 21.7K | 19.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 55.5K | $3.0M | $53.80 | 3.55x |
| 87507 | Detection test for digestive tract pathogen | 3.4K | $1.7M | $509.24 | 1.07x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 13.5K | $1.2M | $90.34 | 1.51x |
| 87633 | Detection test for multiple types of respiratory virus | 2.4K | $1.1M | $478.16 | 1.13x |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 8.9K | $728.8K | $81.90 | 1.83x |
| 88342 | Tissue or cell analysis by immunologic technique | 6.2K | $502.5K | $81.22 | 2.10x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 3.5K | $472.2K | $134.88 | 1.35x |
| 87631 | Detection test for multiple types of respiratory virus | 3.3K | $461.2K | $140.69 | 1.20x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 6.8K | $450.5K | $66.46 | 1.74x |
| 0097U | Test for detection of gastrointestinal disease-causing organism using amplified probe | 1.2K | $448.7K | $360.13 | 1.58x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 2.2K | $391.3K | $178.67 | 1.50x |
| 88175 | Pap test | 10.3K | $316.7K | $30.73 | 1.95x |
| 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 | 9.7K | $300.9K | $31.13 | 1.92x |
| 88341 | Special stained specimen slides to examine tissue | 4.0K | $296.6K | $74.36 | 1.87x |
| 88360 | Microscopic genetic analysis of tumor | 2.6K | $277.6K | $107.77 | 2.02x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 870 | $267.4K | $307.34 | 2.13x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 7.4K | $210.2K | $28.35 | 3.76x |
| 88112 | Cell examination of specimen | 3.5K | $204.4K | $57.91 | 3.38x |
| 87486 | Detection test for Chlamydia pneumoniae | 4.4K | $170.7K | $38.96 | 1.21x |
| 87581 | Detection test for Mycoplasma pneumoniae (bacteria) | 4.4K | $170.4K | $38.97 | 1.21x |
This provider submits charges 2.04 times higher than what Medicare actually pays.
A markup ratio of 2.04x means for every $100 Medicare pays, this provider initially charges $204. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Genomic Health, Inc. | Redwood City, CA | $887.6M | ✓ Clear |
| Unilab Corporation | West Hills, CA | $868.8M | ⚠️ Flagged |
| Caredx Inc. | Brisbane, CA | $751.0M | ✓ Clear |
| Laboratory Corporation Of America | San Diego, CA | $592.4M | ⚠️ Flagged |
| Millennium Health, Llc | San Diego, CA | $587.9M | ✓ 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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