Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidThomas Martin
    Ask Trek AI about this page

    Thomas Martin — Billing Profile & Reimbursement Data

    NPI 1326049586 · Princeton, WV · Anatomic Pathology & Clinical Pathology Physician

    Customize your policy alerts

    Sign up for Thomas Martin — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Thomas Martin is a anatomic pathology & clinical pathology physician provider located in Princeton, West Virginia. This profile covers 12 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationThomas Martin
    Address122 12th St
    CityPrinceton
    StateWV
    ZIP24740
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedAugust 9, 2005

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

    Payer SourceTotal Paid
    Medicare$28.4K
    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.

    12 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…500$30$13.4K
    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…70$60$4.2K
    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…190$20$3.8K
    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,…100$20$2.4K
    88108The analyst prepares smears of cytopathology fluids, washings, or brushings, except for cervical or vaginal fluid, using a concentration technique and interprets his findings. Cytopathology is the…70$20$1.1K
    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…50$20$930
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.20$40$800
    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…60$10$510
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.30$20$470
    88104The analyst prepares smears of cytopathology fluids, washings, or brushings, except for cervical or vaginal fluid, and interprets his findings. Cytopathology is the study of cellular changes in…20$20$340

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    883054480670$30$23.9K
    883412960200$20$5.4K
    88307285080$60$4.7K
    883423460110$30$3.8K
    88173203030$60$3K
    88312113040$40$2.7K
    85060163040$20$1.1K
    88304196050$10$810
    8817241020$30$640
    8810822020$20$580

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Princeton Community Hospital Assn., Inc.WVGeneral Acute Care Hospital$0$41M
    Princeton Community Hospital Assn Inc.WVUrology Physician$0$15.4M
    Inas Al-attarWVPediatric Infectious Diseases Physician$0$3.9M
    Bluestone Health Association, Inc.WVFederally Qualified Health Center (FQHC)$0$1.9M
    Joseph BaisdenWVRadiation Oncology Physician$1.9M$0
    Navid MoradshahiCADiagnostic Radiology Physician$1.2M$0
    Walter OsiasCADiagnostic Radiology Physician$759.8K$0
    Myles MitsunagaCADiagnostic Radiology Physician$510.8K$113.9K
    Hugh McswainCANeuroradiology Physician$235.3K$292.6K
    Barry VaughtWVNeurology Physician$459.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Voca Corporation Of West Virginia, Inc.WVDevelopmental Disabilities Clinic/Center$0$178.3M
    Southern Highlands Community Mental Health Center, Inc.WVCommunity/Behavioral Health Agency$0$44.2M
    Southern Highlands Community Mental Health Center, Inc.WVCounselor$0$22M
    Bluestone Health Association, Inc.WVFederally Qualified Health Center (FQHC)$0$12.1M
    Princeton Rescue Squad IncWVLand Ambulance$1.1M$10.4M
    Foot And Ankle Clinic Of The Virginias IncWVPodiatrist$0$5.5M
    Bradley HoffmanWVFoot & Ankle Surgery Podiatrist$4.9M$0
    Beautiful Minds Counseling CenterWVMental Health Counselor$0$4.1M
    Bluefield Gastroenterology PLLCWVSpecialist$0$4M
    Brandon M Lingenfelter Do PhdWVObstetrics & Gynecology Physician$0$3.9M

    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. West Virginia Distribution
    Thomas Martin — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia