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    OpenPayerNPI Medicare & MedicaidWilliam Kirby
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    William Kirby — Billing Profile & Reimbursement Data

    NPI 1265438360 · Newark, DE · Anatomic Pathology & Clinical Pathology Physician

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    William Kirby is a anatomic pathology & clinical pathology physician provider located in Newark, Delaware. This profile covers 15 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWilliam Kirby
    Address4755 Ogletown Stanton Rd
    CityNewark
    StateDE
    ZIP19718
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJune 23, 2005

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

    Payer SourceTotal Paid
    Medicare$75K
    Medicaid$0

    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.

    15 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…700$30$20.2K
    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…260$70$16.8K
    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…440$20$9.8K
    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,…320$30$8.5K
    88331Pathological, 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…100$50$4.9K
    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…160$20$3.4K
    88360The 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…100$30$3.2K
    88309The 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$2.7K
    88332Pathology consultation during surgery provides necessary and precise information pertaining to diagnosis and prognosis that aids a surgeon in deciding whether to proceed further during surgery.…70$20$1.6K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method10$70$920

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    883052140740$40$45.2K
    883411630450$30$20.3K
    883421540240$40$14K
    88307920110$70$12.1K
    8833153050$70$8.7K
    88312620100$50$7.3K
    88313153090$30$5.2K
    883601220110$30$3.8K
    G0416162020$110$3.3K
    8830971020$110$3.3K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Delaware Clinical & Laboratory Physicians, PADEAnatomic Pathology & Clinical Pathology Physician$0$520.7K
    Phoebe HolmesDEAnatomic Pathology & Clinical Pathology Physician$160.7K$0
    Ming ZhangDEAnatomic Pathology & Clinical Pathology Physician$128K$0
    Eric MontgomeryPAAnatomic Pathology & Clinical Pathology Physician$122.4K$0
    Thomas ChouDEAnatomic Pathology & Clinical Pathology Physician$109.3K$0
    Randi LapointDEAnatomic Pathology & Clinical Pathology Physician$108.6K$0
    Steven KramerDEAnatomic Pathology & Clinical Pathology Physician$101.1K$0
    Delaware Clinical & Laboratory Physicians, PADEHematology (Internal Medicine) Physician$0$92.7K
    Cynthia FlynnDEAnatomic Pathology & Clinical Pathology Physician$84K$0
    Mary IacoccaDEAnatomic Pathology & Clinical Pathology Physician$57.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Doctors For Emergency ServiceDEEmergency Medicine Physician$0$20.2M
    Christiana Care Health Services IncDEObstetrics & Gynecology Physician$0$9.9M
    Christiana Care Emergency Physicians LLCDEEmergency Medicine Physician$0$2.8M
    Christiana Care Health Services IncDEPediatrics Physician$0$1.9M
    Christiana Care Health Services IncDEGastroenterology Physician$0$852.9K
    Neil GambillDEDiagnostic Radiology Physician$735.4K$0
    Christiana Care Health Services, IncDEHospice and Palliative Medicine (Internal Medicine) Physician$0$578K
    Kevin CopelandDEInternal Medicine Physician$522.3K$0
    Jacqueline HoltDEDiagnostic Radiology Physician$447.7K$0
    Minchul ShinDEDiagnostic Radiology Physician$307.5K$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. Delaware Distribution
    William Kirby — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware