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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDarren Whittemore
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    Darren Whittemore — Billing Profile & Reimbursement Data

    NPI 1437130804 · Irving, TX · Anatomic Pathology & Clinical Pathology Physician

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    Darren Whittemore is a anatomic pathology & clinical pathology physician provider located in Irving, Texas. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDarren Whittemore
    Address6655 N Macarthur Blvd
    CityIrving
    StateTX
    ZIP75039
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedNovember 10, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$714.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The 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…12,400$50$620K
    88312The 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…480$70$34.4K
    88341The 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…420$60$24.2K
    88342The 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,…290$60$18.1K
    88304The 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…480$30$14K
    88313The 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,…20$60$890
    88311The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations.30$20$410
    0752TThis code describes clinical staff work performed to scan and digitize images from glass microscope slides for immediate or later pathologic diagnosis. This add–on code specifically describes…20$0$0
    0753TThis code describes clinical staff work performed to scan and digitize images from glass microscope slides for immediate or later pathologic diagnosis. This add–on code specifically describes…210$0$0

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305131,120400$40$51.6K
    883123158060$60$9.7K
    8834293910100$50$8.9K
    88341138810180$30$8.9K
    8831353855080$40$6.7K
    883041769050$20$1.7K
    8831140858040$10$790
    0753T110140$1$240
    0752T11020$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kingman Healthcare, IncAZGeneral Acute Care Hospital$0$86.1M
    Laboratory Medicine Consultants LtdNVClinical Medical Laboratory$1.9M$9.2M
    Kingman Healthcare, IncAZSpecialist$0$9.8M
    Scott AckerGADermatopathology (Pathology) Physician$3.8M$0
    Laboratory Medicine Consultants LtdNVAnatomic Pathology & Clinical Pathology Physician$0$2.3M
    Twin Cities Dermatopathology, LLCMNDermatopathology (Pathology) Physician$1.2M$719.8K
    Seema ApichaiILAnatomic Pathology Physician$1.5M$105K
    Darren HarrisGAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Niraj PahlajaniTXRadiation Oncology Physician$1.4M$0
    William BetsillGAClinical Medical Laboratory$1.3M$0

    Nearby Providers

    Other providers in the same ZIP code as Darren Whittemore, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    National Medical Professionals Of Arizona, LLCTXEmergency Medicine Physician$0$12.2M
    Stratus Dx, LLCTXPhysiological Laboratory$2.4M$7.2M
    Carlos TorresTXAnatomic Pathology & Clinical Pathology Physician$580.7K$0
    Whitney ChouteauTXInterventional Pain Medicine Physician$517.4K$0
    Jessica GerhartTXFamily Nurse Practitioner$290K$0
    Frontera Strategies, LPTXPhysiological Laboratory$204.7K$1.1K
    James BurdickTXGastroenterology Physician$100.5K$0
    Paul LydeTXInternal Medicine Physician$61.9K$0
    Rajal ShahTXAnatomic Pathology & Clinical Pathology Physician$32.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Darren Whittemore — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas