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    OpenPayerNPI Medicare & MedicaidNorthwest Pathology PLLC
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    Northwest Pathology PLLC — Billing Profile & Reimbursement Data

    NPI 1235193590 · Bellingham, WA · Anatomic Pathology & Clinical Pathology Physician

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    Northwest Pathology PLLC is a anatomic pathology & clinical pathology physician provider located in Bellingham, Washington. This profile covers 114 Medicare and 83 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
    OrganizationNorthwest Pathology PLLC
    Address3560 Meridian St Ste 101
    CityBellingham
    StateWA
    ZIP98225
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedApril 13, 2006

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

    Payer SourceTotal Paid
    Medicaid$17.8M
    Medicare$860.5K

    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.

    114 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…8,200$30$262.4K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…1,710$30$58.2K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…770$70$56.8K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.900$30$30.6K
    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…940$30$30.1K
    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,…640$50$29.6K
    P9604Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge2,390$10$26.3K
    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…290$90$26.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.3,110$10$24.9K
    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…440$60$23.9K

    Showing 1–10 of 114

    • More pages

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 114 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    114 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    883055340530$40$39.4K
    U000342030$70$37.2K
    87798320320$30$31.4K
    83880143060$40$22.7K
    84403132070$30$20.5K
    881851520570$20$20.1K
    83970148040$40$17K
    87900210130$130$15.3K
    8748132090$30$15.1K
    G014561080$30$11.4K

    Showing 1–10 of 114

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    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.

    83 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…167,670$70$11.9M
    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…51,860$40$2M
    G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source41,720$20$876.2K
    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.16,440$30$509.7K
    88175The 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…19,490$30$506.8K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.11,990$30$371.5K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.11,960$30$370.6K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.4,300$40$176.4K
    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…2,800$50$151.2K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.4,060$30$117.6K

    Showing 1–10 of 83

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    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Washington median

    83 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…31001,940$70$1M
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.161202,040$30$464.9K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.161202,020$30$441.1K
    88175The 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…630400$20$316.8K
    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.5401,420$30$292.9K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.14601,340$30$208.1K
    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…61401,360$30$205.2K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.982402,430$10$194.2K
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…5290880$20$136.6K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…681502,600$10$130K

    Showing 1–10 of 83

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kelly LloydWAAnatomic Pathology & Clinical Pathology Physician$606.5K$22.3K
    Gregory WolgamotWAAnatomic Pathology & Clinical Pathology Physician$528.2K$0
    Lisa KochWAAnatomic Pathology Physician$189.7K$0
    Kiran ChaturvediWAAnatomic Pathology & Clinical Pathology Physician$165.4K$0
    John HoytWAAnatomic Pathology & Clinical Pathology Physician$129.3K$0
    Alfonso MasangkayWAAnatomic Pathology & Clinical Pathology Physician$85.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Northwest Pathology PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    PeacehealthWARural Acute Care Hospital$0$47.1M
    Unity Care NorthwestWAFederally Qualified Health Center (FQHC)$0$33.7M
    PeacehealthWAInternal Medicine Physician$0$26.1M
    Whatcom Medic OneWALand Ambulance$894.1K$20.7M
    Unity Care NorthwestWAFederally Qualified Health Center (FQHC)$0$20.1M
    Northwest Regional CouncilWATransportation Broker$0$11.4M
    Lake Whatcom Residential & Treatment CenterWACommunity/Behavioral Health Agency$0$10.3M
    Total Renal Care, Inc.WAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$5.9M
    Catholic Community Services Of Western WashingtonWAMental Health Clinic/Center (Including Community Mental Health Center)$0$5.8M
    Apple Pediatric DentistryWAPediatric Dentistry$0$5.8M

    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. Washington Distribution
    Northwest Pathology PLLC — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington
    Medicaid Revenue by Year vs. Washington Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Northwest Pathology PLLC — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington