Loading...
NPI 1316919079 · Indianapolis, IN · Clinical Medical Laboratory
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Ameripath Indianapolis PC is a clinical medical laboratory provider located in Indianapolis, Indiana. This profile covers 43 Medicare and 15 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 | Organization |
| Organization | Ameripath Indianapolis PC |
| Address | 2560 N Shadeland Ave |
| City | Indianapolis |
| State | IN |
| ZIP | 46219 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | February 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.8M |
| Medicaid | $1.7M |
AMERIPATH INDIANAPOLIS PC bills materially to both Medicare and Medicaid, with Total Medicare revenue of $1.8M and Total Medicaid revenue of $1.7M, indicating a nearly balanced dual-payer footprint rather than a single-payer concentration. The provider’s NPI was enumerated on 2006-02-06 (~20 years ago), consistent with an established lab operation serving both payer populations.
Revenue is highly concentrated in a small set of pathology codes for both payers: precomputed figures show the top 3 Medicare codes by revenue account for 73.2% of this provider's total Medicare revenue, and the top 3 Medicaid codes by revenue account for 86.3% of this provider's total Medicaid revenue. Within those aggregates, a single code, 88305, is the dominant driver—accounting for 57.3% of Medicare revenue ($995.2K) and 71.1% of Medicaid revenue ($1.2M)—so reimbursement and referral activity around 88305 will disproportionately affect overall revenue.
The code mix indicates this is principally a high-volume surgical pathology and immunohistochemistry laboratory: top codes include surgical pathology levels (88305, 88307, 88304) alongside a suite of immunostain and IHC-related codes (88342, 88341, 88350) and molecular/cytogenetic assays (81235, 88271, 88363). This mix suggests the operation handles large volumes of tissue accessioning and interpretation, provides multiple IHC stains per case, and performs downstream molecular or archived-tissue selection work rather than limited point-of-care testing.
Nationally, AMERIPATH INDIANAPOLIS PC is a high-volume outlier on several Medicare codes. For example, 88305 ranks #40 of 14580 providers nationally (100th percentile; extreme outlier), 88307 ranks #6 of 8511 (100th percentile; extreme outlier), and 88342 ranks #64 of 11370 (99th percentile; extreme outlier), indicating the provider is far above typical national volume for core surgical pathology and IHC services. This positioning implies the provider is a major national contributor for these services on Medicare fee-for-service.
In the Indiana Medicaid market, the provider is also a leading in-state performer on surgical pathology and IHC codes: 88305 ranks #6 of 143 providers in-state (96th percentile; notably above typical state volume), 88342 ranks #5 of 48 (91st percentile), and 88312 ranks #3 of 25 (92nd percentile). Those in-state ranks indicate it is a prominent Medicaid laboratory in Indiana for tissue-based diagnostic work and immunostaining.
Several additional codes reinforce the pattern of unusually high throughput across related anatomic pathology functions: 88304 ranks #33 of 8796 providers nationally (100th percentile; extreme outlier) and 88363 ranks #6 of 1168 providers nationally (100th percentile; extreme outlier), showing elevated volumes in level-III surgical pathology and archived tissue selection for molecular testing. At the same time, a number of other codes (for example 88361, 88312, 88173) are labeled as typical or unremarkable volume, indicating the extreme-volume profile is concentrated in specific surgical pathology/IHC lines rather than across all lab services.
From a payer-management and network strategy perspective, the provider’s heavy dependence on a few high-revenue codes—especially 88305—creates concentrated leverage and exposure: negotiation or network changes affecting 88305, 88307, or 88342 would materially shift the provider’s revenue given the precomputed concentration metrics (73.2% Medicare, 86.3% Medicaid for top 3 codes). Contracting, utilization management, and referral-pathway analysis should therefore prioritize those codes and the clinical pathways that generate surgical pathology specimens.
The combination of long tenure (NPI enumerated 2006-02-06 ~20 years ago), high national ranks for several surgical pathology/IHC codes, and leading in-state Medicaid positions suggests AMERIPATH INDIANAPOLIS PC operates as an established, high-volume anatomic pathology service with specialized IHC and some molecular capabilities. Analysts evaluating competitive dynamics should treat the provider as a significant volume partner for tissue-based diagnostics in both Medicare and Indiana Medicaid markets rather than a modest or incidental participant.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
43 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… | 30,160 | $30 | $995.2K |
| 88307 | The 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… | 980 | $140 | $140.7K |
| 88342 | The 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,… | 2,900 | $50 | $136.2K |
| 88341 | The 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… | 2,980 | $40 | $127.9K |
| 88321 | A qualified provider, typically a pathologist, provides consultation and a report on slides prepared elsewhere. A unit of service is the surgical case regardless of the number of slides received. | 640 | $70 | $43.5K |
| 88361 | The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. The lab analyst processes the slides using computer assisted… | 880 | $50 | $40.7K |
| 88312 | The 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… | 600 | $70 | $38.7K |
| 88173 | The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results. | 400 | $80 | $30.6K |
| 88350 | The 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… | 370 | $80 | $28.3K |
| 88304 | The 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… | 1,230 | $20 | $27.1K |
Showing 1–10 of 43
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
15 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… | 35,670 | $40 | $1.2M |
| 88342 | The 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,… | 6,790 | $20 | $135.7K |
| 88307 | The 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… | 1,430 | $90 | $131.6K |
| 88312 | The 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… | 2,040 | $30 | $67.2K |
| 88304 | The 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… | 4,030 | $20 | $60.5K |
| 88341 | The 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… | 1,530 | $40 | $58K |
| 88313 | The 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,… | 1,730 | $20 | $32.8K |
| 88173 | The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results. | 150 | $50 | $7.9K |
| 88189 | The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers. | 150 | $30 | $4.4K |
| 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… | 260 | $20 | $3.9K |
Showing 1–10 of 15
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
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 6 | 140 | 830 | $50 | $265K |
| 88307 | The 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… | 12 | 30 | 510 | $60 | $171.2K |
| 88342 | The 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,… | 5 | 50 | 370 | $20 | $52.9K |
| 88189 | The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers. | 4 | 10 | 150 | $50 | $39.6K |
| 88341 | The 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… | 4 | 20 | 460 | $40 | $35.2K |
| 88173 | The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results. | 6 | 10 | 180 | $50 | $33.3K |
| 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… | 8 | 20 | 190 | $20 | $28.7K |
| 88312 | The 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… | 3 | 30 | 340 | $30 | $26.5K |
| 88313 | The 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,… | 3 | 20 | 380 | $20 | $18.6K |
| 88304 | The 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… | 5 | 50 | 250 | $10 | $16.4K |
Showing 1–10 of 15
Other providers in the same ZIP code as Ameripath Indianapolis PC, ranked by combined Medicare and Medicaid revenue.
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.