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 Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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.

North Shore Pathologists Sc (NPI 1184703829)

Field	Value
Entity Type	Organization
Organization	North Shore Pathologists Sc
Address	2323 N Lake Dr
City	Milwaukee
State	WI
ZIP	53211
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	November 3, 2006

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

145 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…	52,760	$40	$1.9M
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…	3,550	$70	$230.7K
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…	2,720	$40	$95.3K
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,…	3,890	$20	$89.5K
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…	4,250	$20	$67.9K
83020	The lab analyst records and calculates the hemoglobin fractions in a whole blood sample demonstrated by this hemoglobin fractionation test by electrophoresis.	4,280	$10	$55.6K
85060	The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.	3,150	$10	$34.7K
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…	2,480	$10	$19.8K
84165	The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…	2,090	$10	$18.8K
P3001	Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician	630	$10	$8.8K

Showing 1–10 of 145

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wisconsin Distribution

North Shore Pathologists Sc — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

145 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	80	170	720	$70	$272.7K
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.	49	260	3,590	$20	$232.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	70	190	620	$40	$226.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	35	160	990	$30	$191.8K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	18	60	970	$30	$180.5K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	35	160	970	$30	$174.2K
88175	The 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…	27	40	3,060	$20	$147.8K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	34	40	120	$260	$144.3K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	40	220	2,770	$20	$120.2K
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…	3	190	940	$20	$115.2K

Showing 1–10 of 145

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Shore Pathologists Sc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Stemm	IL	Anatomic Pathology & Clinical Pathology Physician	$57.6K	$1K
Ammar Matloob	CA	Anatomic Pathology & Clinical Pathology Physician	$58.1K	$0
Xiaomin Zheng	WI	Anatomic Pathology & Clinical Pathology Physician	$52.2K	$0
Daniel Rowan	WI	Anatomic Pathology & Clinical Pathology Physician	$47.3K	$0
Joseph Novak	WI	Anatomic Pathology & Clinical Pathology Physician	$44.4K	$0
Camellia Eshoa Affi	WI	Anatomic Pathology & Clinical Pathology Physician	$40.3K	$0
Hongmei Li	WI	Anatomic Pathology & Clinical Pathology Physician	$37.7K	$0
Sabine Hale	WI	Cytopathology Physician	$31.1K	$0
Xiao-lan Chen	WI	Anatomic Pathology & Clinical Pathology Physician	$30.9K	$0
Masoud Ganji	WI	Anatomic Pathology & Clinical Pathology Physician	$26K	$0

Nearby Providers

Other providers in the same ZIP code as North Shore Pathologists Sc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbia St. Mary's Hospital Milwaukee, Inc.	WI	General Acute Care Hospital	$0	$64.5M
Columbia St. Mary's Hospital Milwaukee, Inc	WI	Multi-Specialty Clinic/Center	$0	$9.8M
Ascension Wisconsin Laboratories, Inc	WI	Clinical Medical Laboratory	$431.4K	$5.8M
Infinity Healthcare Physicians, S.c.	WI	Emergency Medicine Physician	$0	$2.5M
Metropolitan Medical Center, LLC	WI	Ambulatory Surgical Clinic/Center	$711.8K	$148.1K
Sandeep Ramanujam	WI	Family Medicine Physician	$495.6K	$85.7K
Loritz Chavez	WI	Hospitalist Physician	$158.5K	$121.4K
Kevin Krembs	WI	Internal Medicine Physician	$125.6K	$0
Nguyen Phan	WI	Clinical Cardiac Electrophysiology Physician	$124.2K	$400
Debra Scarlett	WI	Dermatology Physician	$114.5K	$0

North Shore Pathologists Sc — Billing Profile & Reimbursement Data

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North Shore Pathologists Sc — 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