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    OpenPayerNPI Medicare & MedicaidPathology Consultants Of New Mexico
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    Pathology Consultants Of New Mexico — Billing Profile & Reimbursement Data

    NPI 1063498517 · Roswell, NM · Anatomic Pathology Physician

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    Pathology Consultants Of New Mexico is a anatomic pathology physician provider located in Roswell, New Mexico. This profile covers 39 Medicare and 32 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
    OrganizationPathology Consultants Of New Mexico
    Address600 N Richardson Ave
    CityRoswell
    StateNM
    ZIP88201
    TaxonomyAnatomic Pathology Physician
    NPI EnumeratedDecember 16, 2005

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

    Payer SourceTotal Paid
    Medicaid$18M
    Medicare$376.7K

    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.

    39 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…4,790$30$153.1K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…1,130$20$27.2K
    81513The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and…180$140$24.2K
    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…320$70$23.4K
    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…670$30$20.7K
    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,…500$40$19.8K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.360$30$12.3K
    87624The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.330$30$11.3K
    G0145Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under…380$30$10K
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…130$70$9.3K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    81513210280$140$38.2K
    88305270530$30$28.5K
    87624110330$30$11.2K
    U0004110130$70$9.2K
    8831223060$50$8.4K
    87481310150$30$7.1K
    87661210180$30$6.8K
    G041651020$190$6.4K
    8830962030$140$6.3K
    8830724060$70$6.2K

    Showing 1–10 of 39

    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…58,970$90$5M
    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…28,280$70$2M
    88175The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…46,440$30$1.3M
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.33,260$40$1.2M
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.33,250$40$1.2M
    87624The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.32,610$40$1.2M
    U0005Infectious 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,…40,710$30$1.1M
    81513The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and…7,620$130$952.8K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.9,380$70$675.1K
    99000Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.79,420$10$555.9K

    Showing 1–10 of 32

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Mexico median

    32 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…110570$80$1M
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.9140130$220$568.5K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…820790$240$493.1K
    81513The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and…310350$120$373.8K
    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…2501,740$60$317.5K
    U0005Infectious 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,…3201,590$30$247K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.560930$40$226.4K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.560980$30$223.5K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.520550$50$222.5K
    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…320890$130$184.8K

    Showing 1–10 of 32

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Pathology Consultants Of New Mexico, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Xiaolong LiuFLAnatomic Pathology & Clinical Pathology Physician$88.5K$0
    Edgar FischerNMClinical Pathology/Laboratory Medicine Physician$20K$0

    Nearby Providers

    Other providers in the same ZIP code as Pathology Consultants Of New Mexico, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aspire Developmental Services, LLCNMIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$45.5M
    Roswell Hospital CorporationNMGeneral Acute Care Hospital$0$41.3M
    Bca Medical Associates, PANMPediatrics Physician$0$41.2M
    Lovelace Health System LLCNMGeneral Acute Care Hospital$0$20.1M
    Roswell Clinic CorpNMFamily Medicine Physician$0$14.7M
    La Casa De Buena Salud IncNMFederally Qualified Health Center (FQHC)$0$11M
    Masoud Khorsand- Sahbaie Md P ANMHematology & Oncology Physician$0$8.1M
    Agape Home Care LLCNMSupports Brokerage Agency$0$7.4M
    Roswell Family Care, LLCNMFamily Nurse Practitioner$0$6.3M
    Home Medical Equipment Specialists LLCNMDurable Medical Equipment & Medical Supplies$0$6M

    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. New Mexico Distribution
    Pathology Consultants Of New Mexico — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico
    Medicaid Revenue by Year vs. New Mexico Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Mexico Distribution
    Pathology Consultants Of New Mexico — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico