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    OpenPayerNPI Medicare & MedicaidPathologists Medical Laboratory, P.A.
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    Pathologists Medical Laboratory, P.A. — Billing Profile & Reimbursement Data

    NPI 1477519148 · Asheville, NC · Clinical Medical Laboratory

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    Pathologists Medical Laboratory, P.A. is a clinical medical laboratory provider located in Asheville, North Carolina. This profile covers 23 Medicare and 12 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)

    FieldValue
    Entity TypeOrganization
    OrganizationPathologists Medical Laboratory, P.A.
    Address10 Medical Park Dr
    CityAsheville
    StateNC
    ZIP28803
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedApril 21, 2006

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

    Payer SourceTotal Paid
    Medicaid$1.9M
    Medicare$1.1M

    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.

    23 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…19,720$50$887.4K
    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,…640$60$35.2K
    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…450$50$24K
    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…290$70$21.2K
    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…700$30$19.5K
    88350The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample. Code +88350 describes…180$80$14.7K
    G0145Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under…410$30$10.7K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.100$100$10.2K
    88307The 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…40$180$6.5K
    88346The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample.60$110$6.5K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0145610310$30$59.5K
    883052440470$40$50.4K
    8762471040$30$30.4K
    8834155280220$30$9.1K
    8834218320110$40$8K
    8830719523090$70$7.7K
    88350820150$40$7.3K
    883122219040$50$6.5K
    88344445040$60$5.9K
    881733712070$60$4.9K

    Showing 1–10 of 23

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    12 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…10,480$50$513.3K
    88175The 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…17,170$20$309.1K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.19,280$20$308.4K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.19,320$20$289.7K
    87624The 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.10,530$20$168.4K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.9,820$10$117.8K
    88141The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by…6,530$10$84.9K
    U0003Infectious 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…890$60$53.6K
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…1,300$20$26.1K
    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…80$30$2.7K

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. North Carolina median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U0003Infectious 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…78160840$70$2.3M
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.3540480$40$1.4M
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…2880420$30$1.2M
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.1070280$20$896.7K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.19190530$20$635.1K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.19190560$20$609.8K
    87624The 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.650410$20$431.4K
    88175The 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…760570$20$397.8K
    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…261801,290$50$276.1K
    88141The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by…550450$10$67.3K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Pathologists Medical Laboratory, P.A., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kyle MillsNCAnatomic Pathology & Clinical Pathology Physician$883.8K$0
    Jason SprouseNCAnatomic Pathology & Clinical Pathology Physician$470.5K$0
    Christopher KragelNCAnatomic Pathology & Clinical Pathology Physician$164.1K$0
    Harold PostonNCAnatomic Pathology & Clinical Pathology Physician$156.5K$0
    Misty PayneORCytopathology Physician$138.7K$0
    David SchuetzeNCAnatomic Pathology & Clinical Pathology Physician$127.4K$0
    Vicky RhollNCAnatomic Pathology & Clinical Pathology Physician$101.1K$0
    Nathan ShumakerVACytopathology Physician$98.5K$2K
    Marcus WinklerTNAnatomic Pathology & Clinical Pathology Physician$92K$0
    Jeffrey EmbreyNCAnatomic Pathology & Clinical Pathology Physician$58.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Pathologists Medical Laboratory, P.A., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carolina Rehabilitation Specialists, Inc.NCSpeech-Language Pathologist$0$26.1M
    Mountain Area Health Education Center, Inc.NCFederally Qualified Health Center (FQHC)$0$17.5M
    The Bair FoundationNCFoster Care Agency$0$17.3M
    The Arc Of North CarolinaNCCommunity/Behavioral Health Agency$0$14.6M
    Mountain Area Health Education Center, Inc.NCFederally Qualified Health Center (FQHC)$0$14.3M
    Tender Loving Care Homes, Inc.NCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$13.1M
    Asheville Pediatric AssociatesNCPediatrics Physician$0$10.9M
    Asheville Children's Medical Center, P.A.NCPediatrics Physician$0$9.4M
    Crossroads Treatment Centers Of Asheville, PCNCMulti-Specialty Clinic/Center$81.2K$6.5M
    Orthopaedic Surgery Center Of Asheville, LPNCAmbulatory Surgical Clinic/Center$5.1M$11.7K

    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. North Carolina Distribution
    Pathologists Medical Laboratory, P.A. — 2 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina
    Medicaid Revenue by Year vs. North Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Pathologists Medical Laboratory, P.A. — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina