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NPI 1184814014 · Alpharetta, GA · Clinical Medical Laboratory
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Bakotic Pathology Associates, LLC is a clinical medical laboratory provider located in Alpharetta, Georgia. This profile covers 13 Medicare and 31 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 | Bakotic Pathology Associates, LLC |
| Address | 6240 Shiloh Road |
| City | Alpharetta |
| State | GA |
| ZIP | 30005 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | July 26, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $13.3M |
| Medicare | $101.5K |
BAKOTIC PATHOLOGY ASSOCIATES, LLC operates as a clinical pathology/laboratory practice with a clear focus on surgical pathology and special staining plus high-volume infectious disease molecular testing; its top-revenue CPTs include 88312, 88305, and 88313 (surgical pathology/stain work) and the Medicaid mix also shows heavy use of amplified probe codes such as 87798 and U0003. The code descriptions (e.g., surgical pathology interpretation and special stains) support an operational model centered on histopathology services combined with substantial molecular infectious-agent testing.
Revenue concentration is high in both payers: the provider’s top 3 Medicare codes account for 85.7% of Medicare revenue and the top 3 Medicaid codes account for 70.9% of Medicaid revenue. For Medicare those top three are dominated by 88312, 88305, and 88313; for Medicaid the largest contributors by dollar are 88312, 88305, and 87798, indicating a narrow set of services drive most billing.
The payer mix is heavily skewed toward Medicaid by scale: reported lifetime Medicaid revenue is $13.3M while lifetime Medicare revenue is $101.5K, so Medicaid is the clear primary payer relationship for this provider. This makes the practice effectively Medicaid-dominant in its billing footprint rather than balanced across public payers.
Competitive standing in Medicaid is dominant for multiple high-revenue codes: the provider ranks #1 in-state for 88312 (127.3K claims, $4.6M revenue), 88305 (140.9K claims, $2.8M revenue), and 87798 (128.6K claims, $2.1M revenue) and these are labelled as "extreme outlier, far above typical state volume." Those rank and label combinations indicate BAKOTIC is a statewide outlier and a major processor of these specific Medicaid services.
Medicare competitive signals are mixed: for 88312 the provider ranks #302 of 6966 (96th percentile), which indicates relatively strong national standing for that code, while 88305 ranks #7846 of 14580 (46th percentile) and 88313 ranks #1798 of 6757 (73rd percentile) and are described as "typical, unremarkable volume." This pattern suggests the group has a notable national footprint for at least one surgical-stain code but otherwise participates at more modest, typical volumes on Medicare.
Several specific code-level labels highlight statistical outlier behavior in Medicaid beyond the top three: multiple pathology and molecular codes (88313, 87481, 88356 among others) are listed as "extreme outlier, far above typical state volume," while several culture and susceptibility codes (e.g., 87186, 87070, 87077) are described as notably high in-state (percentile values in the 90s). Together these labels point to unusually large state-level volume across both histology and infectious-disease testing lines.
The provider’s claim-level counts on Medicaid are extremely large for certain services (for example 127.3K claims for 88312 and 140.9K claims for 88305), reinforcing that its Medicaid role is one of high-volume processing rather than episodic or small-scale testing. Those volumes, combined with the revenue dominance of those codes, suggest the laboratory functions as a central processing entity for Medicaid pathology and molecular testing in Georgia.
BAKOTIC PATHOLOGY ASSOCIATES has an established operational tenure (NPI enumerated 2007-07-26, ~19 years), which, when paired with the concentrated Medicaid volumes and outlier rankings, is consistent with a long-standing laboratory service that has scaled to handle sustained, high throughput for state Medicaid work. Analysts should view the combination of long tenure and concentrated code dominance as evidence of an entrenched service-line specialization rather than a transient billing pattern.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 650 | $90 | $55.6K |
| 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… | 430 | $50 | $21.8K |
| 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,… | 140 | $60 | $9.2K |
| 88356 | After a lab analyst prepares slides, the qualified provider, typically a pathologist, performs a morphometric analysis to evaluate size, shape, and other physical features of a nerve. | 20 | $180 | $3.7K |
| 87798 | The 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… | 110 | $30 | $3.6K |
| 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,… | 40 | $80 | $2.8K |
| 87186 | The lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility, or sensitivity, to multiple antimicrobial agents, commonly called antibiotics, by observing growth of the… | 140 | $10 | $1.2K |
| 87070 | The lab analyst performs the technical lab steps to culture a specimen from any source except urine, blood, or stool. This service involves aerobic culture, which refers to the presence of oxygen.… | 100 | $10 | $790 |
| 87077 | The lab analyst performs additional tests on a presumptively identified aerobic isolate to definitively, which means more specifically, identify the organism, such as to the level of species. | 100 | $10 | $780 |
| 87075 | The lab analyst performs an anaerobic culture using material from any source except blood, and identifies any isolated bacteria to the least specific level, such as genus. | 80 | $10 | $690 |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 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.
31 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 127,300 | $40 | $4.6M |
| 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… | 140,950 | $20 | $2.8M |
| 87798 | The 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… | 128,610 | $20 | $2.1M |
| 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… | 15,400 | $70 | $1M |
| 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,… | 53,500 | $20 | $802.4K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 44,100 | $10 | $573.3K |
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 14,950 | $20 | $343.8K |
| 88356 | After a lab analyst prepares slides, the qualified provider, typically a pathologist, performs a morphometric analysis to evaluate size, shape, and other physical features of a nerve. | 3,880 | $80 | $298.7K |
| 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,… | 5,680 | $40 | $215.7K |
| 87186 | The lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility, or sensitivity, to multiple antimicrobial agents, commonly called antibiotics, by observing growth of the… | 17,050 | $10 | $102.3K |
Showing 1–10 of 31
How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Georgia median
31 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… | 6 | 40 | 850 | $70 | $983K |
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 2 | 10 | 900 | $40 | $638.4K |
| 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… | 1 | 60 | 840 | $30 | $262.7K |
| 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… | 1 | 20 | 110 | $30 | $212.5K |
| 88356 | After a lab analyst prepares slides, the qualified provider, typically a pathologist, performs a morphometric analysis to evaluate size, shape, and other physical features of a nerve. | 1 | 10 | 2,080 | $80 | $161.6K |
| 87798 | The 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… | 1 | 30 | 820 | $20 | $154.2K |
| U0005 | 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, cdc or non-cdc,… | 18 | 40 | 740 | $20 | $122.4K |
| 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… | 21 | 30 | 450 | $70 | $82.9K |
| 87070 | The lab analyst performs the technical lab steps to culture a specimen from any source except urine, blood, or stool. This service involves aerobic culture, which refers to the presence of oxygen.… | 3 | 40 | 850 | $10 | $62.6K |
| 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,… | 1 | 20 | 80 | $20 | $60.6K |
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Other providers in the same ZIP code as Bakotic Pathology Associates, LLC, ranked by combined Medicare and Medicaid revenue.
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