This provider's $4.5M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Medicare payments to this provider grew 1518% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 179% in 2020
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 | $148.00 | $35.46 | 4.17x | $112.54 | $59.0K | 2.0K | 1.9K |
| 2015 | $133.33 | $31.09 | 4.29x | $102.24 | $61.8K | 1.9K | 1.8K |
| 2016 | $141.07 | $34.23 | 4.12x | $106.84 | $78.3K | 2.1K | 2.1K |
| 2017 | $146.05 | $37.54 | 3.89x | $108.51 | $108.0K | 2.8K | 2.6K |
| 2018 | $142.60 | $37.02 | 3.85x | $105.58 | $130.3K | 3.3K | 3.1K |
| 2019 | $115.70 | $36.74 | 3.15x | $78.96 | $346.0K | 6.1K | 6.0K |
| 2020 | $141.99 | $89.21 | 1.59x | $52.78 | $965.0K | 13.9K | 13.9K |
| 2021 | $142.99 | $90.88 | 1.57x | $52.11 | $960.4K | 12.0K | 11.9K |
| 2022 | $143.10 | $88.99 | 1.61x | $54.11 | $837.9K | 10.8K | 10.7K |
| 2023 | $143.14 | $85.06 | 1.68x | $58.08 | $954.2K | 12.5K | 12.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 17.4K | $1.5M | $85.63 | 1.32x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 27.5K | $1.4M | $49.85 | 2.73x |
| 88356 | Microscopic genetic analysis of nerve tissue | 2.7K | $511.2K | $191.62 | 1.72x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 7.9K | $473.3K | $60.29 | 1.38x |
| 88342 | Tissue or cell analysis by immunologic technique | 4.6K | $307.3K | $67.32 | 2.20x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 1.2K | $141.7K | $116.85 | 1.46x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 610 | $85.1K | $139.43 | 2.28x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 1.1K | $26.2K | $23.47 | 3.70x |
| 88311 | Preparation of tissue for examination by removing any calcium present | 1.2K | $18.5K | $15.60 | 1.77x |
| 88341 | Special stained specimen slides to examine tissue | 481 | $14.1K | $29.33 | 4.11x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 330 | $10.9K | $33.17 | 3.87x |
| 88360 | Microscopic genetic analysis of tumor | 107 | $9.6K | $89.48 | 3.05x |
| 89060 | Crystal identification from tissue or body fluid | 808 | $6.0K | $7.40 | 3.15x |
| 88331 | Pathology examination of tissue during surgery | 122 | $5.8K | $47.38 | 4.18x |
| 88108 | Cell examination of specimen | 365 | $5.7K | $15.56 | 6.11x |
| 88104 | Cell examination of body fluid | 249 | $5.5K | $22.13 | 4.07x |
| 88344 | Special stained specimen slides to examine tissue | 32 | $3.9K | $120.47 | 2.56x |
| 88309 | Pathology examination of tissue using a microscope, high complexity | 25 | $2.7K | $106.82 | 3.55x |
| 86334 | Immunologic analysis technique on serum | 146 | $2.0K | $13.48 | 2.37x |
| 88374 | Microscopic genetic examination using computer-assisted technology | 55 | $1.9K | $34.21 | 6.46x |
This provider submits charges 1.94 times higher than what Medicare actually pays.
A markup ratio of 1.94x means for every $100 Medicare pays, this provider initially charges $194. This is lower 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 Pathology providers in GA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Scott Acker, MD | Alpharetta, GA | $50.6M | ✓ 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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