This provider's $14.2M in total Medicare payments ranks in the 93th 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 | $202.11 | $71.79 | 2.82x | $130.32 | $1.1M | 24.6K | 21.4K |
| 2015 | $230.20 | $84.90 | 2.71x | $145.30 | $1.4M | 22.6K | 20.4K |
| 2016 | $223.66 | $80.84 | 2.77x | $142.82 | $1.5M | 24.8K | 22.2K |
| 2017 | $229.13 | $80.06 | 2.86x | $149.07 | $1.3M | 23.4K | 21.0K |
| 2018 | $224.36 | $81.76 | 2.74x | $142.60 | $1.4M | 25.7K | 22.6K |
| 2019 | $209.06 | $70.55 | 2.96x | $138.51 | $1.6M | 32.8K | 28.9K |
| 2020 | $202.40 | $71.70 | 2.82x | $130.70 | $1.7M | 30.3K | 26.4K |
| 2021 | $195.25 | $72.89 | 2.68x | $122.36 | $1.5M | 28.1K | 24.2K |
| 2022 | $201.60 | $70.83 | 2.85x | $130.77 | $1.4M | 27.1K | 23.8K |
| 2023 | $203.05 | $70.25 | 2.89x | $132.80 | $1.3M | 24.5K | 21.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 144.9K | $6.0M | $41.54 | 6.99x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method, 10-20 specimens | 4.2K | $1.2M | $272.17 | 2.45x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 18.6K | $1.0M | $56.35 | 2.02x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 6.6K | $789.7K | $118.85 | 1.81x |
| 88342 | Tissue or cell analysis by immunologic technique | 8.0K | $598.5K | $74.39 | 2.01x |
| 88121 | Cell examination of urine | 1.4K | $544.0K | $386.08 | 2.20x |
| 88112 | Cell examination of specimen | 14.6K | $454.8K | $31.14 | 8.94x |
| 88341 | Special stained specimen slides to examine tissue | 5.0K | $345.8K | $68.98 | 1.89x |
| 88120 | Cell examination of urine | 677 | $325.3K | $480.54 | 2.09x |
| 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 | $313.6K | $30.28 | 3.84x |
| 88189 | Flow cytometry technique for DNA or cell analysis | 2.5K | $185.8K | $74.60 | 16.08x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 922 | $183.2K | $198.74 | 2.26x |
| 88360 | Microscopic genetic analysis of tumor | 1.9K | $181.6K | $95.15 | 2.36x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 2.7K | $147.4K | $55.25 | 1.86x |
| 88344 | Special stained specimen slides to examine tissue | 1.1K | $145.4K | $136.01 | 1.96x |
| 88175 | Pap test | 4.6K | $144.2K | $31.14 | 3.84x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 4.5K | $135.8K | $30.37 | 7.05x |
| 88368 | Microscopic genetic analysis of tissue | 1.2K | $126.7K | $101.90 | 1.96x |
| 85097 | Bone marrow, smear interpretation | 1.9K | $126.0K | $65.75 | 2.15x |
| 88184 | Flow cytometry technique for DNA or cell analysis | 1.8K | $104.8K | $59.41 | 1.95x |
This provider submits charges 4.72 times higher than what Medicare actually pays.
A markup ratio of 4.72x means for every $100 Medicare pays, this provider initially charges $472. 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 NV for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Incorporated | Las Vegas, NV | $182.1M | ⚠️ Flagged |
| Md Spine Solutions Llc | Reno, NV | $79.7M | ✓ 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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