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

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

Dekalb Pathology PC (NPI 1376641290)

Field	Value
Entity Type	Organization
Organization	Dekalb Pathology PC
Address	2701 North Decatur Road
City	Decatur
State	GA
ZIP	30033
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	September 21, 2006

Payer Source	Total Paid
Medicaid	$475.7K
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
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…	4,280	$60	$274K
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…	6,390	$30	$198K
88311	The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations.	260	$10	$2.6K
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…	80	$10	$920
85060	The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.	10	$10	$180
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.	70	$0	$0
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	20	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Dekalb Pathology PC — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia 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…	13	60	840	$30	$262.7K
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.	73	100	460	$10	$159.9K
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…	3	30	450	$70	$82.9K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	53	60	440	$1	$24.1K
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…	18	30	130	$20	$22.1K
85060	The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.	5	10	30	$10	$4.5K
88311	The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations.	5	10	210	$10	$4.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vinay Gowda	GA	Anatomic Pathology & Clinical Pathology Physician	$47.7K	$0
Suneal Jannapureddy	GA	Anatomic Pathology & Clinical Pathology Physician	$42.8K	$0
David Cohen	GA	Anatomic Pathology & Clinical Pathology Physician	$31.1K	$0

Nearby Providers

Other providers in the same ZIP code as Dekalb Pathology PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dekalb Medical Psych Unit	GA	Psychiatric Hospital Unit	$0	$34.4M
Kids & Teens Primary Healthcare	GA	Pediatrics Physician	$0	$5M
Amir Agha	GA	Rheumatology Physician	$1.7M	$6.6K
Aaron Bradley	GA	Foot & Ankle Surgery Podiatrist	$1.7M	$0
Amazing Pediatrics	GA	Pediatrics Physician	$0	$856.2K
The Primary Care Center, PC	GA	Internal Medicine Physician	$0	$659.7K
Jefrey Lieberman	GA	Rheumatology Physician	$611.5K	$0
James Benton	GA	Radiation Oncology Physician	$603.7K	$0
Mark Merlin	GA	Radiation Oncology Physician	$481.4K	$0
Marcus Stonecipher	GA	Dermatology Physician	$478K	$0

Dekalb Pathology PC — Billing Profile & Reimbursement Data

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Dekalb Pathology PC — 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