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    OpenPayerNPI Medicare & MedicaidCatherine Breen
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    Catherine Breen — Billing Profile & Reimbursement Data

    NPI 1205942562 · Providence, RI · Dermatopathology (Pathology) Physician

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    Catherine Breen is a dermatopathology (pathology) physician provider located in Providence, Rhode Island. This profile covers 12 Medicare and 2 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 TypeIndividual
    OrganizationCatherine Breen
    Address825 Chalkstone Ave
    CityProvidence
    StateRI
    ZIP02908
    TaxonomyDermatopathology (Pathology) Physician
    NPI EnumeratedAugust 21, 2006

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

    Payer SourceTotal Paid
    Medicare$37.4K
    Medicaid$2K

    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.

    12 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…780$30$24.2K
    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,…80$30$2.2K
    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…80$20$1.8K
    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…90$20$1.8K
    84165The 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…120$10$1.7K
    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…150$10$1.4K
    86334The lab analyst performs immunofixation electrophoresis, typically on the patient’s serum, to diagnose and or monitor monoclonal gammopathies or myeloma, a bone marrow tumor.100$10$1.3K
    88350The 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…60$20$1.3K
    84166The lab analyst performs a test to separate and evaluate the level of various protein fractions in any specimen other than serum by electrophoresis.30$10$430
    88346The 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.10$30$410

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    883051360240$30$15.8K
    84165710570$10$6.4K
    883413750140$20$4.1K
    86334710210$20$3.8K
    88342216070$30$2.6K
    8835021090$20$2.1K
    84166610100$10$1.4K
    8831232030$20$1.1K
    8834621030$30$740
    88313192040$10$640

    Showing 1–10 of 12

    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.

    2 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…60$20$1.4K
    84165The 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…80$10$490

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Rhode Island median

    2 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…5870360$90$154.9K
    84165The 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…610130$20$18.7K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Catherine Breen, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Pathologists, LLCRIAnatomic Pathology Physician$0$2.9M
    New England Tissue Issue, PLLCMAClinical Medical Laboratory$897.4K$467.4K
    Xiaoping ZhouVAAnatomic Pathology & Clinical Pathology Physician$968.4K$59.3K
    Hongmei LiMADermatopathology (Pathology) Physician$289.3K$155.3K
    Alejandro GruNYDermatopathology Physician$236.8K$0
    Brian McmillenRIAnatomic Pathology & Clinical Pathology Physician$177.3K$25K
    James CarlstenRIAnatomic Pathology & Clinical Pathology Physician$69.8K$101K
    Xin HeRIAnatomic Pathology & Clinical Pathology Physician$163.5K$0
    Mirela StancuVAAnatomic Pathology & Clinical Pathology Physician$51.6K$104.2K
    Daniel SchafferCOAnatomic Pathology & Clinical Pathology Physician$89.8K$28.1K

    Nearby Providers

    Other providers in the same ZIP code as Catherine Breen, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Caring Experience Nursing Services, Inc.RIHome Health Agency$0$78.5M
    Prospect Chartercare Rwmc, LLCRIGeneral Acute Care Hospital$0$57.1M
    Caregiver Homes Of Rhode Island Inc.RICase Management Agency$0$43.4M
    Roger Williams Medical CenterRISurgical Oncology Physician$0$5.4M
    John RicciRIDentist$0$4.3M
    Meals On Wheels Of Ri, Inc.RICase Manager/Care Coordinator$0$4.1M
    Professional Ambulance LLCRIAmbulance$1.7M$1.4M
    Prospect Chartercare Rwmc, LLCRIInternal Medicine Physician$0$2.4M
    Antonio BarajasRIEmergency Medical Services (Emergency Medicine) Physician$0$2.1M
    Nakitta NoelRIEmergency Medicine Physician$32.3K$1.5M

    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. Rhode Island Distribution
    Catherine Breen — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Catherine Breen — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island