This provider's $18.2M in total Medicare payments ranks in the 95th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 4287% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 837% 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 | $248.56 | $83.65 | 2.97x | $164.91 | $69.6K | 832 | 8 |
| 2015 | $385.63 | $123.15 | 3.13x | $262.48 | $652.1K | 5.3K | 15 |
| 2016 | $307.38 | $98.48 | 3.12x | $208.90 | $1.0M | 10.4K | 13 |
| 2017 | $297.76 | $89.12 | 3.34x | $208.64 | $1.0M | 11.6K | 12 |
| 2018 | $287.87 | $87.25 | 3.30x | $200.62 | $1.7M | 20.0K | 14 |
| 2019 | $238.88 | $74.61 | 3.20x | $164.27 | $2.4M | 32.3K | 24 |
| 2020 | $214.29 | $70.03 | 3.06x | $144.26 | $2.2M | 31.2K | 22 |
| 2021 | $189.52 | $66.31 | 2.86x | $123.21 | $3.0M | 44.6K | 24 |
| 2022 | $173.69 | $60.99 | 2.85x | $112.70 | $3.1M | 50.2K | 22 |
| 2023 | $164.12 | $57.84 | 2.84x | $106.28 | $3.1M | 52.8K | 28 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 122.3K | $5.6M | $46.16 | 3.13x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 32.6K | $3.2M | $96.78 | 2.97x |
| 88120 | Cell examination of urine, manual | 4.9K | $2.6M | $527.40 | 3.13x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 12.3K | $910.5K | $73.95 | 3.21x |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 6.0K | $796.6K | $133.39 | 3.01x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 2.9K | $790.0K | $274.21 | 3.61x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 22.4K | $780.1K | $34.75 | 1.73x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 9.6K | $710.6K | $73.99 | 3.19x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 11.0K | $698.8K | $63.76 | 2.91x |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 17.6K | $687.1K | $38.97 | 3.25x |
| 88377 | Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure | 1.4K | $459.9K | $321.40 | 2.95x |
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 2.9K | $289.9K | $99.21 | 2.26x |
| 88381 | Preparation of specimen, manual | 684 | $104.3K | $152.42 | 2.68x |
| 88346 | Antibody evaluation, initial single antibody stain procedure | 675 | $87.4K | $129.48 | 2.46x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 1.7K | $58.0K | $34.77 | 1.73x |
| 88108 | Cell examination of specimen | 1.0K | $46.9K | $46.17 | 3.29x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 1.3K | $44.4K | $34.88 | 1.72x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 1.3K | $44.2K | $34.86 | 1.72x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 1.4K | $43.9K | $32.21 | 3.11x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 1.2K | $40.6K | $34.93 | 1.72x |
This provider submits charges 3.02 times higher than what Medicare actually pays.
A markup ratio of 3.02x means for every $100 Medicare pays, this provider initially charges $302. 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 MA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Massachusetts Llc | Marlborough, MA | $276.5M | ⚠️ Flagged |
| Quest Diagnostics Llc | Marlborough, MA | $268.6M | ⚠️ Flagged |
| Foundation Medicine, Inc. | Cambridge, MA | $232.3M | ✓ Clear |
| Boston Heart Diagnostics Corporation | Framingham, MA | $185.1M | ✓ Clear |
| Cohen Dermatopathology, P.C. | Needham, MA | $88.9M | ✓ 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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