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 Maine for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maine 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. Maine (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.

The Pathology Associates, P.A. (NPI 1346300738)

Field	Value
Entity Type	Organization
Organization	The Pathology Associates, P.A.
Address	35 Medical Center Pkwy
City	Augusta
State	ME
ZIP	04330
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	December 8, 2006

Payer Source	Total Paid
Medicaid	$598.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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…	24,050	$20	$505.1K
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,…	3,770	$20	$60.3K
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…	530	$40	$21.9K
85060	The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.	660	$10	$6.6K
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…	520	$10	$2.6K
84165	The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…	290	$10	$1.8K
88108	The 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…	20	$10	$140

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

The Pathology Associates, P.A. — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

7 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…	3	50	2,110	$20	$123K
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…	7	10	860	$30	$75.4K
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	20	550	$10	$21.5K
85060	The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.	3	10	1,290	$10	$11.1K
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…	9	20	250	$1	$4.5K
84165	The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…	9	20	180	$1	$3.8K
88108	The 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…	6	10	30	$1	$520

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Pathology Associates, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laura Nelsen	ME	Anatomic Pathology & Clinical Pathology Physician	$49.4K	$0
Nadia Nashed	ME	Anatomic Pathology & Clinical Pathology Physician	$47.2K	$0
James Dekay	VT	Anatomic Pathology & Clinical Pathology Physician	$43.9K	$0
Carol Saunders	ME	Anatomic Pathology & Clinical Pathology Physician	$21.4K	$0
Cheri Aubertine	ME	Anatomic Pathology & Clinical Pathology Physician	$18.8K	$0

Nearby Providers

Other providers in the same ZIP code as The Pathology Associates, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainegeneral Medical Center	ME	General Acute Care Hospital	$0	$168.1M
Motivational Services Inc	ME	Voluntary or Charitable Agency	$0	$92.2M
Employment Specialists Of Maine, Inc.	ME	Mental Illness Community Based Residential Treatment Facility	$0	$84.2M
Crisis And Counseling Centers, Inc.	ME	Mental Health Counselor	$0	$21M
Gallant Therapy Services	ME	Developmentally Disabled Services Day Training Agency	$0	$20.5M
Children's Center: Early Intervention And Family Support, Inc.	ME	Specialist	$0	$13.6M
Central Maine Area Agency On Aging	ME	In Home Supportive Care Agency	$0	$13.5M
Anglez Behavioral Health Services PA	ME	Case Management Agency	$0	$12.5M
Kennebec Pharmacy And Home Care LLC	ME	Parenteral & Enteral Nutrition Supplies (DME)	$0	$11.6M
Kennebec Home Care LLC	ME	Home Health Agency	$0	$9.6M

The Pathology Associates, P.A. — Billing Profile & Reimbursement Data

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The Pathology Associates, P.A. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References