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

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

Pathology Associates, P.C. (NPI 1386626083)

Field	Value
Entity Type	Organization
Organization	Pathology Associates, P.C.
Address	2904 Westcorp Blvd Sw
City	Huntsville
State	AL
ZIP	35805
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	November 17, 2005

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 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…	15,490	$80	$1.3M
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…	4,850	$50	$218.3K
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…	1,410	$80	$108.2K
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…	1,130	$40	$47.3K
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,…	500	$30	$14K
88189	The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.	140	$60	$8.9K
88302	The physician, typically a pathologist, performs a level II examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	220	$20	$3.5K
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…	10	$20	$290
88311	The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations.	10	$10	$170
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…	610	$0	$0

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Pathology Associates, P.C. — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

11 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…	5	70	550	$50	$210.5K
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…	9	20	340	$80	$121.9K
88189	The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.	3	10	140	$60	$51.8K
86334	The lab analyst performs immunofixation electrophoresis, typically on the patient’s serum, to diagnose and or monitor monoclonal gammopathies or myeloma, a bone marrow tumor.	4	10	1,000	$10	$27.3K
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…	2	30	340	$20	$24K
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…	4	10	670	$10	$22.4K
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…	5	10	50	$30	$21.4K
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,…	6	10	150	$30	$21K
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…	5	30	210	$20	$10.7K
88302	The physician, typically a pathologist, performs a level II examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	5	10	180	$20	$10.2K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Lee	AR	Anatomic Pathology & Clinical Pathology Physician	$348.1K	$0
Adam Perricone	AL	Anatomic Pathology & Clinical Pathology Physician	$324.6K	$0
John Ross	AL	Anatomic Pathology & Clinical Pathology Physician	$160.1K	$0
William Brix	AL	Anatomic Pathology & Clinical Pathology Physician	$154.6K	$0
Wendy Moreland	AL	Anatomic Pathology & Clinical Pathology Physician	$152.5K	$0
Lacey Sullivan	MS	Anatomic Pathology & Clinical Pathology Physician	$101.2K	$0
Armanda Tatsas	AL	Anatomic Pathology & Clinical Pathology Physician	$98.4K	$0
Priya Gore	AL	Anatomic Pathology & Clinical Pathology Physician	$95.3K	$0
Carrie Reid	AL	Anatomic Pathology & Clinical Pathology Physician	$94.1K	$0
Ray Moore	AL	Anatomic Pathology & Clinical Pathology Physician	$90.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Huntsville Emergency Medical Services, Inc.	AL	Land Ambulance	$5.6M	$6M
John Waples	AL	Medical Oncology Physician	$9.6M	$0
Madison Core Laboratories, LLC	AL	Clinical Medical Laboratory	$1.5M	$4M
Hc Healthcare, LLC	AL	Community Based Hospice Care Agency	$0	$4.8M
Marshall Schreeder	AL	Medical Oncology Physician	$3.5M	$0
Ali Hachem	AL	Hematology & Oncology Physician	$2.3M	$0
Daniel Schreeder	AL	Hematology & Oncology Physician	$2.3M	$0
Lakshmikanth Katragadda	AL	Hematology & Oncology Physician	$2.1M	$0
The Village Medical Clinic	AL	Specialist	$0	$2M
Oncology Specialties, P.C.	AL	Hematology & Oncology Physician	$0	$2M

Pathology Associates, P.C. — Billing Profile & Reimbursement Data

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Pathology Associates, P.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

Related Providers

Nearby Providers

Frequently Asked Questions

References