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NPI 1215920103 · Hammond, IN · Anatomic Pathology & Clinical Pathology Physician
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Philip Mcguire is a anatomic pathology & clinical pathology physician provider located in Hammond, Indiana. This profile covers 4 Medicare and 1 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 | Philip Mcguire |
| Address | 2434 Interstate Plaza Dr |
| City | Hammond |
| State | IN |
| ZIP | 46324 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | August 25, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $23.1K |
| Medicare | $12K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 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… | 160 | $30 | $4.3K |
| 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… | 200 | $20 | $3.7K |
| G0124 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician | 170 | $20 | $3.6K |
| 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… | 30 | $10 | $380 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 2,100 | $10 | $23K |
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 3 | 30 | 780 | $10 | $16K |
Other providers in the same ZIP code as Philip Mcguire, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Alverno Laboratories, LLC | IN | Clinical Medical Laboratory | $8.1M | $33.9M |
| Abc Pediatriacs, PC | IN | Pediatrics Physician | $0 | $4.1M |
| Tanesha Williams | IN | Home Health Aide | $0 | $3.6M |
| Williams Eye Institute, PC | IN | Ambulatory Surgical Clinic/Center | $758.7K | $67.9K |
| Ann Williams Md | IN | Ophthalmology Physician | $374.2K | $0 |
| Blake Williams | IN | Ophthalmology Physician | $341.7K | $0 |
| Pastor Llobet | IN | Cardiovascular Disease Physician | $288.8K | $0 |
| Megan Silas | IN | Ophthalmology Physician | $96.1K | $5.5K |
| Huiya Huang | IN | Anatomic Pathology & Clinical Pathology Physician | $82.4K | $1K |
| Chava Landau | IN | Certified Registered Nurse Anesthetist | $82.1K | $0 |
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