This provider averages 93 services per working day
Based on 139.9K total services over 6 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.4M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Averaging 93 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 49119% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1088% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $476.86 | $44.34 | 10.75x | $432.52 | $9.0K | 204 | 4 |
| 2019 | $311.26 | $51.76 | 6.01x | $259.50 | $30.4K | 587 | 9 |
| 2020 | $186.46 | $39.33 | 4.74x | $147.13 | $24.3K | 618 | 8 |
| 2021 | $409.37 | $125.49 | 3.26x | $283.88 | $288.6K | 2.3K | 17 |
| 2022 | $213.89 | $71.13 | 3.01x | $142.76 | $1.6M | 22.0K | 19 |
| 2023 | $104.08 | $38.98 | 2.67x | $65.10 | $4.5M | 114.2K | 27 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 49.1K | $1.7M | $34.39 | 2.30x |
| 88121 | Cell examination of urine, computer-assisted | 3.6K | $1.3M | $372.09 | 2.80x |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 8.3K | $453.9K | $54.44 | 4.42x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 1.5K | $433.9K | $296.80 | 4.61x |
| 87150 | Identification of organisms by genetic analysis, amplified probe technique | 7.3K | $251.7K | $34.39 | 1.40x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 2.9K | $197.5K | $68.40 | 2.62x |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 1.4K | $196.9K | $140.25 | 2.41x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 2.3K | $158.3K | $68.80 | 1.16x |
| 87556 | Detection test by nucleic acid for mycobacteria tuberculosis (tb bacteria), amplified probe technique | 3.8K | $156.9K | $40.83 | 2.08x |
| 88120 | Cell examination of urine, manual | 263 | $139.9K | $532.12 | 2.44x |
| 87563 | Detection of mycoplasma genitalium by dna or rna probe | 3.8K | $132.2K | $34.38 | 2.27x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 3.8K | $132.1K | $34.38 | 2.30x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 3.8K | $132.1K | $34.38 | 2.30x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 3.8K | $132.1K | $34.38 | 2.30x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 3.8K | $131.5K | $34.38 | 2.32x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 1.6K | $131.3K | $81.03 | 2.75x |
| 84153 | Psa (prostate specific antigen) measurement, total | 5.8K | $104.1K | $18.01 | 3.85x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1.8K | $78.2K | $43.63 | 4.13x |
| 87086 | Bacterial colony count, urine | 9.4K | $74.0K | $7.91 | 3.79x |
| 87186 | Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | 8.1K | $68.5K | $8.47 | 5.31x |
This provider submits charges 2.82 times higher than what Medicare actually pays.
A markup ratio of 2.82x means for every $100 Medicare pays, this provider initially charges $282. This is higher than the national average.
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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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