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NPI 1407893993 · Lewiston, ID · Clinical Medical Laboratory
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Pathologists Regional Laboratory is a clinical medical laboratory provider located in Lewiston, Idaho. This profile covers 119 Medicare and 67 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Pathologists Regional Laboratory |
| Address | 415 6th St |
| City | Lewiston |
| State | ID |
| ZIP | 83501 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | June 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1M |
| Medicare | $649.7K |
PATHOLOGISTS REGIONAL LABORATORY’s billing mix centers on anatomic and clinical laboratory work: surgical pathology (88305 is the single largest Medicare and Medicaid code), cytology (88175 and 88141 appear prominently on the Medicaid side), and routine clinical panels (80053, 80061, 85025) and phlebotomy (36415). The presence of multiple immunohistochemistry and special-stain codes (88341, 88342, 88344, 88312, 88313) combined with high-volume panel testing indicates the operation performs both advanced tissue diagnostics and high-throughput specimen processing rather than purely point-of-care testing.
Revenue is concentrated in a small set of high-value services: the precomputed top 3 Medicare codes account for 43.7% of Medicare revenue and the precomputed top 3 Medicaid codes account for 52.2% of Medicaid revenue. In particular, 88305 alone represents $148.3K (27.1% of Medicare revenue) and $337.3K (33.9% of Medicaid revenue), making it the dominant revenue driver across both payers.
The payer mix favors Medicaid by scale: lifetime Medicaid revenue is $1M compared with total Medicare revenue of $649.7K, so Medicaid represents the larger single-payer revenue source for this provider. Both payers matter operationally, but the practice is more reliant on Medicaid volume for overall revenue.
National competitive standing on Medicare is mixed but notable: 88305 ranks #786 of 14580 providers nationally (95th percentile) and several routine lab codes (for example 36415 at the 100th percentile and 80053 at the 99th percentile) sit in high national percentiles. While many of these entries are labeled “typical, unremarkable volume for this code,” the high percentiles indicate the provider achieves relatively strong throughput nationally on several common lab services; 88307 is flagged as “notably above typical national volume,” marking an above-average national footprint for higher-complexity surgical pathology.
State-level competitive position on Medicaid is stronger in targeted services: 88305 ranks #4 of 33 providers in-state (91st percentile) and cytology/specialized pathology codes show leading state positions — 88313 ranks #1 of 6 providers in-state (100th percentile; notably above typical state volume) and 88141 ranks #1 of 7 providers in-state (100th percentile; notably above typical state volume). These rankings suggest the lab is a major in-state provider for cytopathology and certain special stains.
The service breadth includes infectious disease and molecular testing alongside histopathology: Medicaid claims show high-volume NAAT STI testing (87491 and 87591 each contribute about $47.9K and $47.8K respectively) and a COVID-19 nucleic acid code U0003 is present at $10.5K. This mix signals capacity for nucleic-acid testing and screening workflows in addition to traditional histology and immunostaining.
Operational throughput is evident from claim counts for specimen collection and routine panels: 36415 appears with 6.1K Medicare claims and 11.8K Medicaid claims, and 80053 appears with 4.2K Medicare claims and 6.4K Medicaid claims. Those volumes, together with the dollar figures reported, imply an established phlebotomy and processing pipeline supporting both high-volume outpatient draws and downstream laboratory testing.
The provider has long tenure in the NPI file (NPI enumerated 2006-06-01 (~20 years ago)), which together with the mix of routine panels, high counts of blood-draw claims, and specialized pathology codes supports a profile of an established regional lab offering both high-throughput clinical chemistry/hematology services and higher-complexity anatomic pathology diagnostics.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
119 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… | 4,120 | $40 | $148.3K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 6,120 | $10 | $49K |
| 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. | 4,220 | $10 | $42.1K |
| 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… | 2,310 | $20 | $37K |
| 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… | 4,220 | $10 | $33.7K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 2,370 | $10 | $30.8K |
| 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… | 1,140 | $30 | $30.8K |
| 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… | 490 | $50 | $25.9K |
| 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… | 260 | $60 | $16.3K |
| 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,… | 440 | $30 | $15.1K |
Showing 1–10 of 119
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 119 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
67 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… | 8,650 | $40 | $337.3K |
| 88175 | The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer… | 4,960 | $20 | $119K |
| 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… | 1,320 | $50 | $63.2K |
| 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… | 420 | $140 | $59.1K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 1,780 | $30 | $47.9K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 1,770 | $30 | $47.8K |
| 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. | 6,350 | $10 | $38.1K |
| 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… | 3,460 | $10 | $31.2K |
| 88313 | The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,… | 860 | $30 | $28.3K |
| 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… | 7,040 | $1 | $28.2K |
Showing 1–10 of 67
How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Idaho median
67 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… | 4 | 30 | 1,450 | $50 | $160K |
| 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. | 24 | 30 | 1,370 | $50 | $121.7K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high… | 14 | 20 | 270 | $60 | $101K |
| 88175 | The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer… | 3 | 10 | 2,270 | $30 | $87K |
| 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 | 510 | $90 | $74.9K |
| 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. | 21 | 70 | 2,170 | $10 | $42.9K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 6 | 30 | 520 | $30 | $40.6K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 6 | 30 | 500 | $30 | $39.7K |
| 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… | 9 | 50 | 940 | $10 | $34.2K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 8 | 10 | 730 | $30 | $33.7K |
Showing 1–10 of 67
Other providers in the same ZIP code as Pathologists Regional Laboratory, ranked by combined Medicare and Medicaid revenue.
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