This provider's $71.6M in total Medicare payments ranks in the 99th 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 | $112.32 | $46.07 | 2.44x | $66.25 | $8.7M | 189.6K | 35 |
| 2015 | $115.73 | $48.35 | 2.39x | $67.38 | $9.2M | 189.6K | 37 |
| 2016 | $127.74 | $54.31 | 2.35x | $73.43 | $9.8M | 179.6K | 39 |
| 2017 | $130.03 | $51.95 | 2.50x | $78.08 | $7.8M | 151.0K | 36 |
| 2018 | $132.64 | $51.14 | 2.59x | $81.50 | $7.3M | 143.0K | 35 |
| 2019 | $135.23 | $50.77 | 2.66x | $84.46 | $6.5M | 127.4K | 27 |
| 2020 | $137.65 | $49.60 | 2.78x | $88.05 | $5.5M | 109.9K | 27 |
| 2021 | $144.51 | $53.11 | 2.72x | $91.40 | $6.4M | 120.9K | 28 |
| 2022 | $148.67 | $53.12 | 2.80x | $95.55 | $5.5M | 103.6K | 28 |
| 2023 | $159.40 | $52.80 | 3.02x | $106.60 | $4.9M | 92.9K | 27 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 774.8K | $29.4M | $38.00 | 2.84x |
| 88120 | Cell examination of urine, manual | 25.2K | $10.9M | $435.16 | 1.80x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 102.6K | $5.1M | $49.64 | 2.06x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 72.0K | $4.4M | $61.46 | 2.37x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 9.7K | $3.1M | $317.75 | 4.41x |
| 88185 | Flow cytometry technique for DNA or cell analysis | 66.1K | $2.7M | $40.36 | 1.56x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 31.6K | $1.9M | $60.63 | 1.74x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 30.5K | $1.7M | $56.72 | 3.19x |
| 88108 | Cell examination of specimen, concentration technique | 36.0K | $1.7M | $47.06 | 1.82x |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 35.6K | $1.5M | $43.25 | 4.17x |
| 88121 | Cell examination of urine, computer-assisted | 2.8K | $1.2M | $409.51 | 2.07x |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 11.2K | $969.0K | $86.36 | 1.78x |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 6.6K | $744.4K | $112.99 | 3.33x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 23.7K | $650.1K | $27.44 | 3.07x |
| 88271 | DNA testing for genetic defects | 18.8K | $530.3K | $28.18 | 4.57x |
| 82232 | Beta-2 microglobulin (protein) level | 25.3K | $503.1K | $19.90 | 6.24x |
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 7.7K | $476.3K | $61.89 | 1.87x |
| 88323 | Surgical pathology consultation and report on referred material requiring preparation of slides | 5.9K | $398.5K | $68.10 | 2.11x |
| 88346 | Antibody evaluation, initial single antibody stain procedure | 5.3K | $347.5K | $65.48 | 1.71x |
| 88189 | Flow cytometry technique for DNA or cell analysis | 3.7K | $322.6K | $86.64 | 2.39x |
This provider submits charges 2.58 times higher than what Medicare actually pays.
A markup ratio of 2.58x means for every $100 Medicare pays, this provider initially charges $258. 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 CT for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Llc | Wallingford, CT | $45.8M | ✓ 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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