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NPI 1144223009 · Plymouth, MN · Dermatopathology (Pathology) Physician
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Twin Cities Dermatopathology, LLC is a dermatopathology (pathology) physician provider located in Plymouth, Minnesota. This profile covers 11 Medicare and 3 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Twin Cities Dermatopathology, LLC |
| Address | 9900 13th Avenue North |
| City | Plymouth |
| State | MN |
| ZIP | 55441 |
| Taxonomy | Dermatopathology (Pathology) Physician |
| NPI Enumerated | May 24, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.2M |
| Medicaid | $719.8K |
TWIN CITIES DERMATOPATHOLOGY, LLC operates primarily as a high-volume surgical pathology/dermatopathology practice: the billing mix is heavily weighted toward surgical pathology interpretation (88305) with additional immunostaining and special-stain activity (e.g., 88350, 88342, 88312) that support diagnostic workflows. The nature of the top codes indicates the practice performs accessioning and microscopic diagnosis of surgical specimens and provides ancillary immunohistochemical/immunofluorescent testing rather than being primarily a procedure-based or clinic-based dermatology practice.
Revenue is highly concentrated in a few codes: the provider’s top 3 Medicare codes account for 89.5% of total Medicare revenue, and the top 3 Medicaid codes account for 100.0% of total Medicaid revenue. In particular, 88305 alone represents $969K (78.8% of Medicare revenue) and $718.5K (99.4% of Medicaid revenue), indicating extreme reliance on surgical pathology case interpretations for both payers.
Payer mix shows Medicare scale is larger but Medicaid is also material: total Medicare revenue is $1.2M compared with total Medicaid revenue of $719.8K, so the provider serves meaningful volume from both programs rather than being strictly single-payer. This dual-payer footprint suggests the practice receives steady institutional referrals across public payers.
On Medicare, 88305 is a national outlier: 88305 is listed as an "extreme outlier" and ranks #65 of 14580 providers, signaling an unusually large national surgical pathology volume for that code. Other Medicare codes show above-typical national standing as well — 88304 ranks #74 of 8796 (99th percentile, described as "notably above typical national volume") — reinforcing that the practice is a major national-volume performer in core pathology reads.
Within-state Medicaid competitive standing is strong for the primary surgical pathology service: Medicaid 88305 ranks #10 of 115 providers in-state (92th percentile) and is described as a "typical, unremarkable volume for this code" despite accounting for 99.4% of this provider’s Medicaid revenue. In plain terms, the practice is a prominent Medicaid surgical-pathology biller in Minnesota even though that code’s per-provider state distribution is characterized as common.
Ancillary testing contributes meaningfully to Medicare revenue and signals technical lab capacity: immunostain/immunofluorescence codes such as 88350 ($71.1K, 5.8% of Medicare revenue, ranked #47 of 652 providers and described as "typical, unremarkable volume") and 88342 ($60.2K, 4.9% of Medicare revenue, ranked #383 of 11370 providers and described as "typical, unremarkable volume") together show the provider performs and bills for specialized diagnostic assays in support of surgical pathology interpretations. These secondary codes indicate in-house laboratory capabilities for immunostaining and interpretation rather than exclusively sending out ancillary tests.
The provider is long-established at the NPI level, enumerated on 2005-05-24 (~21 years ago), which suggests stable operations and referral relationships over time; however, the strong revenue concentration in a handful of pathology codes creates exposure to payer policy, reimbursement, or coding changes that affect those specific services. That concentration implies both an operational focus that can be a competitive strength and a potential business risk if demand or payment for the dominant codes shifts.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 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… | 21,530 | $50 | $969K |
| 88350 | The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample. Code +88350 describes… | 760 | $90 | $71.1K |
| 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,… | 790 | $80 | $60.2K |
| 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… | 450 | $90 | $39.1K |
| 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… | 430 | $70 | $28.9K |
| 88346 | The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample. | 190 | $120 | $22.2K |
| 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… | 700 | $30 | $17.5K |
| 88321 | A qualified provider, typically a pathologist, provides consultation and a report on slides prepared elsewhere. A unit of service is the surgical case regardless of the number of slides received. | 160 | $70 | $10.8K |
| 88331 | Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during… | 80 | $70 | $6.1K |
| 88323 | A qualified provider, typically a pathologist, provides consultation and a report on referred material, such as a tissue block, and prepares and stains slides. A unit of service is the surgical case… | 40 | $90 | $3.1K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 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… | 14,970 | $50 | $718.5K |
| 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… | 30 | $90 | $2.6K |
| 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… | 40 | $40 | $1.4K |
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
3 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… | 10 | 120 | 650 | $50 | $225.2K |
| 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… | 27 | 40 | 150 | $10 | $11.6K |
| 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… | 13 | 10 | 110 | $40 | $9.6K |
Other providers in the same ZIP code as Twin Cities Dermatopathology, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Intermediate District 287 | MN | Local Education Agency (LEA) | $0 | $34.2M |
| Alliance Hhc & Nursing Services, LLC | MN | Home Health Agency | $0 | $8.5M |
| Westhealth Surgery Center LLC | MN | Ambulatory Surgical Clinic/Center | $969.2K | $0 |
| Lakeland Health Services, Inc. | MN | Sleep Disorder Diagnostic Clinic/Center | $62.5K | $461K |
| Mitchell Crider | MN | Diagnostic Radiology Physician | $203.1K | $0 |
| Chris Bauman | MN | Diagnostic Radiology Physician | $149.9K | $0 |
| Christopher Spoke | MN | Internal Medicine Physician | $127.2K | $0 |
| Ronald Kaufman | MN | Internal Medicine Physician | $104.1K | $0 |
| Peiyi Wang | MN | Internal Medicine Physician | $98.2K | $0 |
| Mark Houghland | MN | Cardiovascular Disease Physician | $89.6K | $0 |
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