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NPI 1205835279 · Roanoke, VA · Anatomic Pathology & Clinical Pathology Physician
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Pragna Sheth is a anatomic pathology & clinical pathology physician provider located in Roanoke, Virginia. This profile covers 20 Medicare and 7 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 | Individual |
| Organization | Pragna Sheth |
| Address | 1906 Belleview Ave Se |
| City | Roanoke |
| State | VA |
| ZIP | 24014 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | July 20, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $102.4K |
| Medicaid | $10K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,280 | $20 | $26.8K |
| 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… | 880 | $30 | $24.6K |
| 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… | 200 | $60 | $12.8K |
| 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,… | 480 | $30 | $12.4K |
| 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… | 350 | $20 | $7.3K |
| 88344 | The lab analyst applies a single multiplex antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,… | 130 | $30 | $3.9K |
| 88360 | The lab analyst applies a 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, evaluates the… | 90 | $30 | $2.8K |
| 88309 | The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 20 | $110 | $2.4K |
| 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. | 40 | $50 | $2.2K |
| 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… | 30 | $50 | $1.6K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 100 | $70 | $7.1K |
| 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… | 50 | $40 | $2.4K |
| 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… | 20 | $30 | $420 |
| 88302 | The physician, typically a pathologist, performs a level II examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 10 | $10 | $140 |
| 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… | 30 | $0 | $0 |
| 87081 | The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism. | 10 | $0 | $0 |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
7 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… | 136 | 160 | 1,900 | $30 | $129.8K |
| 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… | 43 | 70 | 240 | $60 | $71.3K |
| 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… | 373 | 410 | 1,030 | $1 | $26.8K |
| 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… | 18 | 20 | 70 | $20 | $20.3K |
| 87880 | The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab. | 772 | 920 | 190 | $10 | $20.2K |
| 87081 | The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism. | 121 | 130 | 980 | $1 | $6.7K |
| 88302 | The physician, typically a pathologist, performs a level II examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 21 | 20 | 70 | $10 | $890 |
Other providers in the same ZIP code as Pragna Sheth, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Carilion Medical Center | VA | General Acute Care Hospital | $0 | $124.7M |
| Carilion Medical Center | VA | Multi-Specialty Clinic/Center | $0 | $73.4M |
| Carilion Medical Center | VA | Emergency Medicine Physician | $0 | $18.1M |
| Carilion Emergency Services, Inc. | VA | Urgent Care Clinic/Center | $0 | $11.1M |
| Carilion Clinic Patient Transportation, LLC | VA | Air Ambulance | $2.6M | $6.1M |
| Quest Diagnostics Clinical Laboratories Inc | VA | Clinical Medical Laboratory | $3.9M | $186.2K |
| Mark Kochenderfer | VA | Hematology & Oncology Physician | $2.5M | $0 |
| Amanda Gillespie-twardy | VA | Hematology & Oncology Physician | $1.9M | $0 |
| Suzan Merten | VA | Hematology & Oncology Physician | $1.8M | $90 |
| Padmaja Mallidi | VA | Hematology & Oncology Physician | $1.7M | $0 |
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