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    OpenPayerNPI Medicare & MedicaidJanine Malone
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    Janine Malone — Billing Profile & Reimbursement Data

    NPI 1225044639 · Louisville, KY · Dermatopathology Physician

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    Janine Malone is a dermatopathology physician provider located in Louisville, Kentucky. This profile covers 8 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJanine Malone
    Address3810 Springhurst Blvd
    CityLouisville
    StateKY
    ZIP40241
    TaxonomyDermatopathology Physician
    NPI EnumeratedJuly 31, 2006

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

    Payer SourceTotal Paid
    Medicare$187.1K
    Medicaid$30.9K

    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.

    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…2,730$50$122.8K
    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…410$60$24.6K
    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…220$70$16K
    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,…180$70$12.5K
    88313The 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,…90$60$5.2K
    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…90$30$2.2K
    88323A qualified provider, typically a pathologist, provides consultation and a report on referred material, such as a tissue block, and prepares and stains slides. A unit of service is the surgical case…20$70$1.5K
    88344The 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,…10$120$1.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830514180590$30$33.2K
    8834143140200$20$7.5K
    88344162040$40$4.4K
    8834243150110$30$4.3K
    8832361040$70$2.8K
    88312410050$40$2.5K
    88313198040$10$930
    883043412060$10$880

    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.

    1 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…670$50$30.6K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky median

    1 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…861302,450$60$382.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charles MoonMODermatology Physician$2.7M$0
    Matthew HughesGADermatology Physician$1.1M$0
    Michael MccallKYDermatology Physician$938.6K$0
    William AdamsKYDermatology Physician$883.7K$0
    Timothy BrownKYDermatology Physician$874.6K$0
    Mark HaeberleKYDermatology Physician$651.4K$23K
    Colton NielsonARMOHS-Micrographic Surgery Physician$528.3K$0
    Logan TurnerKYDermatology Physician$361.9K$0
    Rishi GandhiOHMOHS-Micrographic Surgery Physician$312K$0
    Alfred KnableINDermatology Physician$224K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Medical Associates, Inc.KYInternal Medicine Physician$0$135.1M
    Norton Childrens Medical Group, LLCKYPediatrics Physician$0$107.3M
    Community Medical Associates, Inc.KYMulti-Specialty Clinic/Center$0$49M
    Motc - Louisville LLCKYProsthetic/Orthotic Supplier$0$5.4M
    Gml Pain Md PscKYDurable Medical Equipment & Medical Supplies$0$3.9M
    Jacob YunkerKYOphthalmology Physician$3.8M$0
    Thomas HarperKYOphthalmology Physician$3.3M$0
    Aspire Case Management LLCKYCase Management Agency$0$3.2M
    Victor NeamtuKYOphthalmology Physician$1.5M$980
    Robin CurryKYSports Medicine (Family Medicine) Physician$628.2K$0

    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. Kentucky Distribution
    Janine Malone — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Janine Malone — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky