This provider's $69.1M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
63% of their billing comes from a single procedure code (88305 — Pathology examination of tissue using a microscope, intermediate complexity).
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 | $217.45 | $47.99 | 4.53x | $169.46 | $5.7M | 119.5K | 56 |
| 2015 | $218.57 | $50.56 | 4.32x | $168.01 | $6.0M | 118.0K | 61 |
| 2016 | $222.06 | $53.04 | 4.19x | $169.02 | $6.6M | 124.2K | 61 |
| 2017 | $215.42 | $49.57 | 4.35x | $165.85 | $6.8M | 136.5K | 71 |
| 2018 | $215.95 | $49.52 | 4.36x | $166.43 | $6.8M | 137.5K | 82 |
| 2019 | $211.99 | $49.18 | 4.31x | $162.81 | $7.1M | 143.4K | 92 |
| 2020 | $209.41 | $53.10 | 3.94x | $156.31 | $7.6M | 142.8K | 95 |
| 2021 | $205.44 | $50.82 | 4.04x | $154.62 | $7.9M | 155.7K | 102 |
| 2022 | $209.42 | $48.83 | 4.29x | $160.59 | $7.8M | 159.0K | 100 |
| 2023 | $191.01 | $44.67 | 4.28x | $146.34 | $6.9M | 155.3K | 116 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 753.0K | $38.6M | $51.32 | 4.81x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 88.2K | $4.3M | $49.01 | 4.20x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 44.7K | $3.0M | $68.19 | 3.15x |
| 87624 | Detection test by nucleic acid for human papillomavirus (hpv), high-risk types | 40.3K | $1.6M | $40.32 | 3.72x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 20.8K | $1.6M | $77.33 | 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 | 51.1K | $1.6M | $31.31 | 2.71x |
| 88360 | Microscopic genetic analysis of tumor, manual | 16.1K | $1.0M | $63.96 | 3.76x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 32.2K | $993.1K | $30.82 | 6.54x |
| 88350 | Antibody evaluation, each additional single antibody stain procedure | 15.8K | $979.9K | $62.17 | 2.86x |
| 88377 | Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure | 7.5K | $955.5K | $127.31 | 1.75x |
| 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 | 10.4K | $947.3K | $90.87 | 1.10x |
| 88185 | Flow cytometry technique for dna or cell analysis, each additional marker | 31.2K | $878.4K | $28.16 | 7.74x |
| 88175 | Pap test, automated thin layer preparation; automated system and manual rescreening | 20.4K | $653.9K | $31.98 | 2.66x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 2.1K | $619.2K | $296.96 | 8.15x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 15.1K | $609.7K | $40.34 | 1.78x |
| 87661 | Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique | 14.7K | $593.8K | $40.52 | 1.78x |
| 88346 | Antibody evaluation, initial single antibody stain procedure | 7.7K | $587.4K | $76.24 | 2.37x |
| 87511 | Detection test for gardnerella vaginalis (bacteria), amplified probe technique | 13.9K | $564.3K | $40.68 | 1.78x |
| 88323 | Surgical pathology consultation and report on referred material requiring preparation of slides | 6.4K | $500.3K | $78.38 | 2.50x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 13.0K | $465.0K | $35.80 | 2.60x |
This provider submits charges 4.25 times higher than what Medicare actually pays.
A markup ratio of 4.25x means for every $100 Medicare pays, this provider initially charges $425. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Clinical Pathology Laboratories, Inc. | Austin, TX | $541.0M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Irving, TX | $453.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Dallas, TX | $389.6M | ⚠️ Flagged |
| Quest Diagnostics Clinical Laboratories Inc | Houston, TX | $311.2M | ⚠️ Flagged |
| Laboratory Corporation Of America | Houston, TX | $299.4M | ⚠️ Flagged |
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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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