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.

Pathology Associates, P.C. (NPI 1417910043)

Field	Value
Entity Type	Organization
Organization	Pathology Associates, P.C.
Address	915 Gordon Ave
City	Thomasville
State	GA
ZIP	31792
Taxonomy	Anatomic Pathology Physician
NPI Enumerated	April 6, 2006

Payer Source	Total Paid
Medicaid	$294.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 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…	5,570	$40	$211.5K
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…	1,140	$70	$73.9K
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…	780	$10	$8.6K
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,…	10	$30	$380
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…	70	$0	$0
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,…	10	$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

Pathology Associates, P.C. — 0 of 4 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

6 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…	15	60	840	$30	$262.7K
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…	16	20	110	$30	$212.5K
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	30	450	$70	$82.9K
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,…	21	20	80	$20	$60.6K
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,…	27	30	320	$30	$59.7K
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…	11	30	130	$20	$22.1K

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
John Pham	GA	Anatomic Pathology & Clinical Pathology Physician	$84.5K	$0
Seth Bilello	GA	Anatomic Pathology Physician	$52.3K	$0
Edward Wright	GA	Anatomic Pathology Physician	$37.6K	$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
Georgia Pines Community Service Board	GA	Community/Behavioral Health Agency	$0	$45.3M
Shannon Mullen-magbalon	GA	Counseling Psychologist	$0	$1.7M
Thomasville Surgery Center, Inc.	GA	Ambulatory Surgical Clinic/Center	$1M	$0
Brian Szwarc	GA	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	$126.6K	$540.7K
Thomas County Commissioners Of Roads & Revenues	GA	Land Ambulance	$606.5K	$0
Maximilian Shokat	GA	Interventional Pain Medicine Physician	$516.1K	$0
Maurice Bernaiche	GA	Interventional Pain Medicine Physician	$358.6K	$6.7K
Michael Magbalon	GA	Ophthalmology Physician	$359K	$0
Michael Gee	GA	Internal Medicine Physician	$331.6K	$0
Albert Richardson	GA	Vascular Surgery Physician	$325.9K	$0

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

Sign up for Pathology Associates, P.C. — Billing Profile & Reimbursement Data policy alerts

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

Sign up for Pathology Associates, P.C. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References