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NPI 1487723193 · Winfield, IL · Anatomic Pathology & Clinical Pathology Physician
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Philip Mehaffey is a anatomic pathology & clinical pathology physician provider located in Winfield, Illinois. This profile covers 22 Medicare and 10 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 | Individual |
| Organization | Philip Mehaffey |
| Address | 25 N Winfield Road |
| City | Winfield |
| State | IL |
| ZIP | 60190 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | November 7, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $96.6K |
| Medicaid | $89.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
22 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… | 1,240 | $30 | $34.7K |
| 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… | 140 | $70 | $8.8K |
| 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… | 620 | $10 | $8.7K |
| 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… | 280 | $20 | $6.5K |
| 88173 | The 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 | $60 | $5.6K |
| 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. | 380 | $10 | $5.3K |
| 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,… | 180 | $30 | $4.9K |
| 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… | 210 | $20 | $4.5K |
| 88309 | The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 20 | $120 | $2.4K |
| 88360 | The lab analyst applies a 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, evaluates the… | 60 | $30 | $2K |
Showing 1–10 of 22
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
22 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 88305 | 117 | 580 | 610 | $30 | $38.2K |
| 88341 | 171 | 450 | 210 | $30 | $11.9K |
| 88342 | 143 | 490 | 120 | $40 | $9K |
| 88360 | 118 | 260 | 60 | $60 | $7.7K |
| G0452 | 16 | 40 | 40 | $40 | $6.1K |
| 88307 | 66 | 390 | 80 | $70 | $6.1K |
| 88312 | 126 | 310 | 40 | $50 | $5.7K |
| 88112 | 34 | 230 | 80 | $30 | $4.1K |
| 84165 | 13 | 130 | 110 | $10 | $4.1K |
| 86334 | 13 | 110 | 100 | $20 | $4K |
Showing 1–10 of 22
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.
10 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… | 2,180 | $40 | $78.6K |
| 88141 | The 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… | 530 | $10 | $5.3K |
| 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… | 350 | $1 | $1.4K |
| 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,… | 60 | $20 | $1.2K |
| 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… | 50 | $20 | $990 |
| 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… | 10 | $70 | $800 |
| 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. | 30 | $10 | $300 |
| 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… | 10 | $20 | $220 |
| 88300 | The physician, typically a pathologist, performs a level I examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 10 | $10 | $80 |
| 85390 | A physician or nonphysician lab professional provides interpretation and report of lab tests to evaluate fibrinolysis and coagulation. | 10 | $1 | $50 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
10 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… | 102 | 610 | 820 | $40 | $46.6K |
| 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… | 283 | 290 | 180 | $60 | $28.2K |
| 88141 | The 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… | 15 | 90 | 100 | $10 | $12.2K |
| 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,… | 199 | 300 | 180 | $20 | $8.5K |
| 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… | 42 | 70 | 70 | $30 | $7.1K |
| 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. | 52 | 70 | 130 | $10 | $6.1K |
| 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… | 255 | 280 | 90 | $20 | $4.3K |
| 85390 | A physician or nonphysician lab professional provides interpretation and report of lab tests to evaluate fibrinolysis and coagulation. | 16 | 20 | 300 | $10 | $3.8K |
| 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… | 32 | 90 | 200 | $1 | $3.7K |
| 88300 | The physician, typically a pathologist, performs a level I examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 29 | 30 | 90 | $10 | $850 |
Other providers in the same ZIP code as Philip Mehaffey, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Central Dupage Hospital Association | IL | General Acute Care Hospital | $0 | $10.6M |
| Scott Sporer | IL | Adult Reconstructive Orthopaedic Surgery Physician | $515.6K | $0 |
| Elisa Rhew | IL | Rheumatology Physician | $500.6K | $0 |
| Devin Patel | IL | Interventional Cardiology Physician | $407.1K | $38.1K |
| George Nijmeh | IL | Cardiovascular Disease Physician | $419.9K | $14.3K |
| Pin Lin | IL | Rheumatology Physician | $415.3K | $0 |
| Robin Pastore | IL | Foot & Ankle Surgery Podiatrist | $392K | $6.4K |
| Joshua Blomgren | IL | Sports Medicine (Family Medicine) Physician | $361.1K | $31.4K |
| Omeed Zardkoohi | IL | Clinical Cardiac Electrophysiology Physician | $320.3K | $6.3K |
| Glenn Suacillo | IL | Emergency Medicine Physician | $154.9K | $156.1K |
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