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    OpenPayerNPI Medicare & MedicaidProfessional Pathology Services PC
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    Professional Pathology Services PC — Billing Profile & Reimbursement Data

    NPI 1184883910 · Columbia, SC · Clinical Medical Laboratory

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    Professional Pathology Services PC is a clinical medical laboratory provider located in Columbia, South Carolina. This profile covers 30 Medicare and 8 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
    OrganizationProfessional Pathology Services PC
    Address1 Science Ct
    CityColumbia
    StateSC
    ZIP29203
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedJune 6, 2008

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$536K

    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.

    30 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…15,060$50$723K
    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,…1,460$70$94.8K
    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…1,360$50$70.8K
    88331Pathological, 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…790$80$59.2K
    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…750$80$56.6K
    88304The 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…830$30$23.9K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.210$100$21.7K
    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…230$80$19.5K
    88374The lab analyst applies a single multiplex in situ hybridization probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. The lab analyst processes the slides…290$60$17.2K
    88112Selective 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…350$50$15.8K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    883053240620$30$50.2K
    883414140290$30$10.5K
    G0416175030$160$8.6K
    8830719130120$60$8.5K
    883422160130$40$8.1K
    88312615040$50$7.4K
    8812011040$200$7.1K
    883131513070$30$6.7K
    8837421050$40$6.1K
    88189163090$60$6.1K

    Showing 1–10 of 30

    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.

    8 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…6,830$50$368.9K
    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…920$70$60.9K
    88304The 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…1,440$40$54.6K
    88142The 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…2,120$20$36.1K
    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,…150$60$8K
    88141The 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…430$20$7.7K
    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.120$20$3K
    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…10$60$740

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. South Carolina median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…12130780$60$178.3K
    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.2230690$40$79.6K
    88304The 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…1470190$50$43.7K
    88142The 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…6201,490$10$43.1K
    88141The 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…710520$20$36.4K
    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…630250$30$17.2K
    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,…2950280$20$12.2K
    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…141070$20$7.6K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Professional Pathology Services PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Janet McnaughtonFLAnatomic Pathology & Clinical Pathology Physician$1.7M$0
    Geoffrey TurnerILAnatomic Pathology & Clinical Pathology Physician$131.8K$600
    Sarah WilliamsKYAnatomic Pathology & Clinical Pathology Physician$98.5K$0
    Parker ClementCOAnatomic Pathology & Clinical Pathology Physician$89.7K$0
    Jeffrey WelshSCAnatomic Pathology & Clinical Pathology Physician$88.9K$0
    Jacob VandersteenhovenSCCytopathology Physician$85.6K$0
    David HurrayMTDermatopathology (Pathology) Physician$84.3K$0
    Charles BrukerGAAnatomic Pathology & Clinical Pathology Physician$83.9K$0
    Jennifer JonesSCAnatomic Pathology & Clinical Pathology Physician$62K$0
    Harry KellermierOHAnatomic Pathology & Clinical Pathology Physician$59.8K$1.5K

    Nearby Providers

    Other providers in the same ZIP code as Professional Pathology Services PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prisma Health Medical Group-midlandsSCMulti-Specialty Clinic/Center$0$77.6M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$74.6M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$68.3M
    South Carolina Department Of Mental Health Accounting OfficeSCMental Health Clinic/Center (Including Community Mental Health Center)$0$36M
    Carolina Pediatrics & Adolescent Care, PASCPediatrics Physician$0$12.3M
    Sc House Calls IncSCFamily Medicine Physician$0$11.6M
    Prisma Health Medical Group-midlandsSCOrthopaedic Surgery Physician$0$8.7M
    Prisma Health-midlandsSCGeneral Acute Care Hospital$0$7.4M
    Prisma Health-midlandsSCEmergency Medicine Physician$0$6.8M
    Prisma Health Medical Group-midlandsSCDevelopmental - Behavioral Pediatrics Physician$0$5.9M

    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. South Carolina Distribution
    Professional Pathology Services PC — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina
    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Professional Pathology Services PC — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina