Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Kentucky for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Kentucky only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Kentucky (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Chipps, Caffrey & Dubilier, P.s.c (NPI 1336148683)

Chipps, Caffrey & Dubilier, P.s.c is a anatomic pathology & clinical pathology physician provider located in Lexington, Kentucky. This profile covers 0 Medicare and 50 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Chipps, Caffrey & Dubilier, P.s.c
Address	290 Big Run Rd
City	Lexington
State	KY
ZIP	40503
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	July 19, 2005

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

50 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…	74,340	$30	$2.5M
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…	18,960	$50	$985.9K
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…	6,720	$30	$181.4K
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,…	5,880	$20	$117.6K
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…	13,140	$10	$105.1K
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…	720	$30	$22.3K
85060	The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.	1,560	$10	$15.6K
88189	The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.	380	$30	$13.1K
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.	430	$20	$8.2K
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…	350	$10	$4.8K

Showing 1–10 of 50

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Chipps, Caffrey & Dubilier, P.s.c — 4 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	265	340	2,700	$40	$673.3K
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…	2	130	2,450	$60	$382.4K
80053	The 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.	147	200	16,730	$10	$365.9K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	191	310	3,500	$10	$149.9K
84443	The 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…	162	180	3,770	$10	$136.2K
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…	2	70	540	$70	$131.1K
84484	The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…	109	110	6,160	$10	$128.4K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	73	90	590	$30	$127K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	190	190	360	$60	$119.3K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	174	200	1,020	$30	$98.2K

Showing 1–10 of 50

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Healthcare System, Inc	KY	General Acute Care Hospital	$0	$98.1M
Encore Adhc, LLC	KY	Adult Day Care Clinic/Center	$0	$51.9M
Center For Comprehensive Services, Inc	KY	Rehabilitation Hospital	$0	$28.7M
Lhcg Lxx, LLC	KY	Home Health Agency	$0	$27.1M
P & C Labs, LLC	KY	Clinical Medical Laboratory	$427.3K	$18M
Healthfirst Bluegrass Inc	KY	Federally Qualified Health Center (FQHC)	$0	$18.1M
Ndt Care Services, LLC	KY	Community/Behavioral Health Agency	$0	$17.5M
Lexington Urgent Care PLLC	KY	Urgent Care Clinic/Center	$0	$16.7M
Ballard Wright, Md, Psc	KY	Interventional Pain Medicine Physician	$0	$12.4M
Big Smiles Kentucky Psc	KY	Dentist	$0	$12.3M

Chipps, Caffrey & Dubilier, P.s.c — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Lozano	KY	Anatomic Pathology & Clinical Pathology Physician	$157.2K	$0
Jason Clark	KY	Anatomic Pathology & Clinical Pathology Physician	$149.9K	$0
Jessica Howard	KY	Anatomic Pathology & Clinical Pathology Physician	$135.5K	$0
Bradley Gibson	KY	Anatomic Pathology & Clinical Pathology Physician	$88.6K	$0
Patrick Crowe	KY	Anatomic Pathology & Clinical Pathology Physician	$85.2K	$0
Elizabeth Settembre	CO	Anatomic Pathology & Clinical Pathology Physician	$45.3K	$0