Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidPathologists Diagnostic Laboratory PA
    Ask Trek AI about this page

    Table of contents

    Progress1 / 11

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Pathologists Diagnostic Laboratory PA — Billing Profile & Reimbursement Data

    NPI 1003883877 · Winston Salem, NC · Anatomic Pathology & Clinical Pathology Physician

    Customize your policy alerts

    Sign up for Pathologists Diagnostic Laboratory PA — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Pathologists Diagnostic Laboratory PA is a anatomic pathology & clinical pathology physician provider located in Winston Salem, North Carolina. This profile covers 27 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPathologists Diagnostic Laboratory PA
    Address1800 S Hawthorne Rd Ste 100
    CityWinston Salem
    StateNC
    ZIP27103
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedMarch 1, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$429.4K
    Medicare$256.8K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…5,400$30$140.3K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…980$30$25.4K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…810$20$16.9K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…170$60$10.1K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method60$130$8.4K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.160$50$8.4K
    88344The lab analyst applies a single multiplex antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…260$30$7.6K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…210$30$6.6K
    88189The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.80$60$4.7K
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.220$20$3.8K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830521440470$40$50.4K
    8834124280220$30$9.1K
    G0416157020$150$8.3K
    8834210320110$40$8K
    88189205050$60$7.8K
    883074723090$70$7.7K
    883127419040$50$6.5K
    8834445040$60$5.9K
    881731612070$60$4.9K
    8811237150100$20$4.2K

    Showing 1–10 of 27

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…6,080$60$340.6K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…1,020$40$39.8K
    88304The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1,510$20$22.6K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…420$40$17.8K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…120$70$8.2K
    88300The physician, typically a pathologist, performs a level I examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…500$1$1.5K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. North Carolina median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…421801,290$50$276.1K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…4560570$60$129.2K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…195490260$40$80.3K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…2270540$30$44.8K
    88304The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1680340$10$13.8K
    88300The physician, typically a pathologist, performs a level I examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…31030$1$4.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Pathologists Diagnostic Laboratory PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Omar SanguezaNCDermatopathology (Pathology) Physician$810.1K$0
    Daniel TeagueNCDermatopathology (Pathology) Physician$580.4K$0
    Nichon GrupkaNCAnatomic Pathology & Clinical Pathology Physician$183.4K$0
    Romualdo TalentoNCAnatomic Pathology & Clinical Pathology Physician$141.5K$0
    Kelley MontoyaNCAnatomic Pathology & Clinical Pathology Physician$74.8K$0
    Bilal AhmadMEAnatomic Pathology & Clinical Pathology Physician$61.9K$0
    Danielle RocchioNCAnatomic Pathology & Clinical Pathology Physician$60.2K$0
    Bethany VallangeonNCAnatomic Pathology & Clinical Pathology Physician$46.8K$0
    Sarah KarramMDAnatomic Pathology & Clinical Pathology Physician$35.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Pathologists Diagnostic Laboratory PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Forsyth Memorial Hospital, Inc.NCGeneral Acute Care Hospital$0$40.9M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$39.5M
    Bayada Home Health Care, Inc.NCDevelopmental Disabilities Clinic/Center$0$35.4M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$34.4M
    Rafael Rivera, Jr., Dds, PLLCNCDentist$0$22.1M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$21M
    A Bridge To Achievement Nc, LLCNCCommunity/Behavioral Health Agency$0$15.6M
    Nevaeh & Company LLCNCCustomized Equipment (DME)$0$12.1M
    Speechcenter LLC, D/b/a Sidekick Therapy PartnersNCSpeech-Language Pathologist$0$10.8M
    Champion Family Healthcare Services, LLCNCHome Health Agency$0$9.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Pathologists Diagnostic Laboratory PA — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina
    Medicaid Revenue by Year vs. North Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Pathologists Diagnostic Laboratory PA — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina