This provider's $61.4M in total Medicare payments ranks in the 98th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 115% from 2014 to 2023.
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 | $286.37 | $76.78 | 3.73x | $209.59 | $2.4M | 30.9K | 10 |
| 2015 | $361.85 | $83.71 | 4.32x | $278.14 | $3.2M | 37.8K | 14 |
| 2016 | $415.96 | $91.25 | 4.56x | $324.71 | $4.5M | 49.2K | 20 |
| 2017 | $362.00 | $76.54 | 4.73x | $285.46 | $5.3M | 68.6K | 29 |
| 2018 | $403.07 | $87.67 | 4.60x | $315.40 | $6.8M | 77.6K | 34 |
| 2019 | $369.17 | $84.42 | 4.37x | $284.75 | $6.9M | 82.2K | 29 |
| 2020 | $331.39 | $87.33 | 3.79x | $244.06 | $9.4M | 107.2K | 42 |
| 2021 | $258.64 | $78.80 | 3.28x | $179.84 | $9.0M | 114.4K | 54 |
| 2022 | $145.25 | $57.01 | 2.55x | $88.24 | $8.9M | 156.7K | 70 |
| 2023 | $158.46 | $55.69 | 2.85x | $102.77 | $5.1M | 91.7K | 94 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 263.0K | $9.5M | $36.13 | 4.31x |
| 88120 | Cell examination of urine, manual | 15.3K | $7.7M | $502.26 | 4.00x |
| 88121 | Cell examination of urine, computer-assisted | 15.7K | $6.8M | $431.72 | 4.34x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 74.2K | $5.1M | $69.08 | 4.31x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 84.9K | $4.9M | $57.97 | 4.02x |
| 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 | 46.7K | $4.0M | $86.14 | 2.01x |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 10.7K | $2.9M | $268.12 | 4.99x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 33.7K | $2.6M | $77.71 | 3.97x |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 55.5K | $2.4M | $42.63 | 4.95x |
| 81266 | Comparative analysis using short tandem repeat (str) markers of patient and specimen, each additional specimen | 7.2K | $2.2M | $301.61 | 2.84x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 51.7K | $1.8M | $34.44 | 1.17x |
| 81265 | Comparative analysis using short tandem repeat (str) markers of patient and specimen | 7.3K | $1.7M | $230.49 | 3.00x |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 14.0K | $1.6M | $117.40 | 6.07x |
| 87507 | Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets | 2.8K | $1.3M | $456.35 | 2.23x |
| 88377 | Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure | 2.5K | $786.8K | $319.82 | 3.90x |
| U0005 | 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, cdc or non-cdc, making use of high throughput technologies, completed within | 23.8K | $591.0K | $24.86 | 2.01x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 9.1K | $572.3K | $62.99 | 4.61x |
| 87506 | Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 6-11 targets | 1.8K | $477.5K | $260.07 | 3.37x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 11.5K | $394.4K | $34.43 | 1.16x |
| 81162 | Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants | 181 | $328.8K | $1.8K | 1.25x |
This provider submits charges 3.77 times higher than what Medicare actually pays.
A markup ratio of 3.77x means for every $100 Medicare pays, this provider initially charges $377. 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 MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Quest Diagnostics Incorporated Md | Baltimore, MD | $318.4M | ⚠️ Flagged |
| Genedx Llc | Gaithersburg, MD | $67.3M | ✓ Clear |
| Realtox Labs, Llc | Reisterstown, MD | $53.6M | ✓ Clear |
| Cirrus Dx, Inc. | Rockville, MD | $37.3M | ✓ Clear |
| Meritus Medical Laboratory Llc | Hagerstown, MD | $35.9M | ✓ 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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