Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Louisiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Louisiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Louisiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Pathology Group Of Louisiana, A Professional Medical Corporation (NPI 1093843450)

Field	Value
Entity Type	Organization
Organization	Pathology Group Of Louisiana, A Professional Medical Corporation
Address	5339 O'donovan Drive
City	Baton Rouge
State	LA
ZIP	70808
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicaid	$8.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88305	The 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…	84,260	$60	$5.1M
88307	The 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…	20,010	$60	$1.3M
88342	The 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,…	31,090	$30	$932.7K
88304	The 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…	15,720	$20	$361.5K
88341	The 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…	3,890	$70	$260.9K
88141	The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by…	8,170	$20	$130.7K
88112	Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…	2,280	$20	$54.7K
88173	The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.	1,020	$50	$48.9K
88300	The 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…	4,230	$10	$42.3K
88313	The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…	800	$40	$33.8K

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

Pathology Group Of Louisiana, A Professional Medical Corporation — 8 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	The 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…	2	90	1,270	$50	$375.3K
88307	The 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…	1	30	1,080	$70	$229.4K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	205	270	3,140	$10	$111K
88342	The 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	40	800	$30	$85.1K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	72	120	240	$30	$70.6K
88304	The 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…	2	40	520	$20	$66.4K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	268	380	1,730	$1	$64.6K
88141	The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by…	4	20	660	$20	$59.3K
88312	The 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…	11	30	410	$40	$51.7K
88341	The 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…	2	20	90	$60	$45.4K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pathology Group Of Louisiana, A Professional Medical Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Justin Hardin	TX	Anatomic Pathology & Clinical Pathology Physician	$248.2K	$0
Amberly Nunez	LA	Anatomic Pathology & Clinical Pathology Physician	$96.5K	$0
Tracy Rauch	LA	Anatomic Pathology & Clinical Pathology Physician	$90.8K	$0
Matthew Auten	LA	Anatomic Pathology & Clinical Pathology Physician	$90.2K	$0
Anthony Harton	LA	Anatomic Pathology & Clinical Pathology Physician	$81.9K	$0
Tanya Eichelberger	LA	Anatomic Pathology & Clinical Pathology Physician	$81.1K	$0
Zarius Drummond	LA	Anatomic Pathology & Clinical Pathology Physician	$80.4K	$0
Jennifer Jastram-belcher	LA	Anatomic Pathology & Clinical Pathology Physician	$69.3K	$0
John Simmons	LA	Anatomic Pathology & Clinical Pathology Physician	$66.2K	$0
Erin Vicknair	LA	Anatomic Pathology & Clinical Pathology Physician	$57K	$0

Nearby Providers

Other providers in the same ZIP code as Pathology Group Of Louisiana, A Professional Medical Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Our Lady Of The Lake Hospital Inc.	LA	General Acute Care Hospital	$0	$205.8M
Our Lady Of The Lake Physician Group LLC	LA	Internal Medicine Physician	$0	$134M
Professional Emergency Physician Associates, LLC	LA	Emergency Medicine Physician	$0	$28.4M
Radiology Associates LLC	LA	Diagnostic Radiology Physician	$0	$18.6M
Afnb Home Care LLC	LA	In Home Supportive Care Agency	$0	$15.1M
Medlogic,llc	LA	Clinical Medical Laboratory	$0	$13.3M
Baton Rouge Clinic, A Medical Corporation	LA	Internal Medicine Physician	$0	$10.3M
Infusion Partners, LLC	LA	Home Infusion Therapy Pharmacy	$0	$7.3M
Baton Rouge Radiology Group Inc	LA	Diagnostic Radiology Physician	$0	$7.2M
Care One Health LLC	LA	Community/Behavioral Health Agency	$0	$6.4M

Pathology Group Of Louisiana, A Professional Medical Corporation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References