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 North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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 Consultants, PC (NPI 1497736151)

Field	Value
Entity Type	Organization
Organization	Pathology Consultants, PC
Address	3502 Franklin Ave
City	Bismarck
State	ND
ZIP	58503
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	November 9, 2005

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 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…	8,160	$110	$913.4K
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.	560	$100	$57.5K
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…	2,020	$30	$50.5K
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…	70	$20	$1.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Pathology Consultants, PC — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

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

4 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	20	1,200	$50	$190.6K
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	220	$40	$43.8K
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.	4	10	90	$50	$32.3K
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…	6	10	230	$30	$11.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rebecca Ziegler	ND	Anatomic Pathology & Clinical Pathology Physician	$121K	$0
Elena Rodgers-rieger	ND	Anatomic Pathology Physician	$118.3K	$0
Wesley Ellison	ND	Anatomic Pathology Physician	$99.4K	$0
Jared Schmidt	ND	Anatomic Pathology & Clinical Pathology Physician	$88.7K	$0
Michael Laszewski	ND	Anatomic Pathology Physician	$41.8K	$0

Nearby Providers

Other providers in the same ZIP code as Pathology Consultants, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Options For Residential And Employment Services, Inc	ND	Case Manager/Care Coordinator	$0	$84.4M
Metro Area Ambulance Service, Inc	ND	Land Ambulance	$1.5M	$11.7M
Red Door Pediatric Therapy, Inc	ND	Speech-Language Pathologist	$0	$5.6M
New Freedom Center	ND	Substance Abuse Rehabilitation Facility	$0	$4.5M
Bismarck Surgical Associates, LLC	ND	Ambulatory Surgical Clinic/Center	$2.2M	$0
Maple View Ii East Inc	ND	Alzheimer Center (Dementia Center)	$0	$1.7M
Good Road Recovery Center	ND	Substance Abuse Rehabilitation Facility	$0	$1.1M
Bismarck Transportation Services	ND	Taxi	$0	$1.1M
Daniel J. Keith, Dds, Ms, PC	ND	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.1M
Sanford Healthcare Accessories, LLC	ND	Durable Medical Equipment & Medical Supplies	$0	$1.1M

Pathology Consultants, PC — Billing Profile & Reimbursement Data

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Pathology Consultants, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References