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.

Finan Dermatopathology Laboratory, P.C. (NPI 1497755649)

Field	Value
Entity Type	Organization
Organization	Finan Dermatopathology Laboratory, P.C.
Address	1200 Lake Hearn Drive
City	Atlanta
State	GA
ZIP	30328
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	July 29, 2005

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Key Findings

This provider’s Medicare business is overwhelmingly driven by high-complexity surgical pathology: code 88305 accounts for $1.7M revenue (31.3K claims, $54 avg paid/claim) and represents 91.9% of the provider’s Medicare revenue. The volume and revenue concentration on 88305 indicate a focused dermatopathology or surgical pathology testing operation that primarily performs level IV examinations with extensive accessioning, grossing, and microscopic interpretation work.

The top three Medicare codes by revenue (88305, 88341, 88342) together account for 96.2% of the provider’s total Medicare revenue, signaling extreme revenue concentration in a very narrow set of pathology services. With $1.8M total Medicare revenue and the precomputed top-3 share at 96.2%, the practice’s financial profile is heavily dependent on a small number of CPTs rather than a broad mix of lab services.

This entity appears effectively single-payer in scope: Medicare revenue totals $1.8M while there is no Medicaid billing on file. The absence of any Medicaid activity suggests the provider has little to no direct Medicaid patient volume or state-contracted business, which constrains diversification of payer mix and exposes the practice to Medicare policy and pricing risk.

Competitive standing for the practice on its dominant code is nationally exceptional: 88305 ranks #35 of 14580 providers nationally (100th percentile) and is described as an "extreme outlier, far above typical national volume for this code." A second surgical-pathology code, 88304, also ranks very highly at #57 of 8796 providers (99th percentile) and is likewise flagged as an extreme outlier, indicating unusually large national-scale throughput on core histopathology services.

Other commonly billed pathology/add-on codes are present but modest by comparison: 88341 ($41.8K revenue, 614 claims, $68 avg paid/claim; ranks #1121 of 10274, 89th percentile) and 88342 ($39.1K revenue, 566 claims, $69 avg paid/claim; ranks #578 of 11370, 95th percentile) each contribute low single-digit percentages of Medicare revenue. These immunohistochemistry stain/interpretation codes and special stain codes such as 88312 ($35.7K revenue) and 88313 ($5.7K revenue) suggest the lab performs necessary ancillary testing alongside its high-volume surgical pathology reads, but these are not primary revenue drivers.

The mix of codes (predominantly 88305 with supporting immunostains and special stains) implies a workflow oriented to specimen receipt, extensive microscopic interpretation, and selective use of ancillary stains—consistent with a dermatopathology-focused reference lab model that processes large volumes of surgical specimens. The presence of many claims for staining and immunohistochemistry indicates integrated technical and professional pathology services rather than purely consultative reads.

From a risk and resilience perspective, the extreme concentration in a single code (88305) creates operational sensitivity: changes to reimbursement, clinical guidelines, or referral patterns for that service could materially affect the provider’s revenue given that one code alone accounts for $1.7M of $1.8M Medicare revenue. Absent Medicaid revenue and with limited code diversity, the provider has limited natural hedges against payer-specific reimbursement shifts.

This NPI has a long tenure in the Medicare program, enumerated 2005-07-29 (~21 years ago), consistent with an established lab operation. The combination of long-standing enrollment, very high national rank on core surgical pathology codes, and concentrated Medicare revenue paints the picture of a specialized, high-throughput dermatopathology laboratory with a strong national presence on specific pathology CPTs but limited payer diversification.

Medicare: Complete Services Breakdown

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

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…	31,340	$50	$1.7M
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…	610	$70	$41.8K
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,…	570	$70	$39.1K
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…	640	$60	$35.7K
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…	870	$30	$27.8K
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,…	100	$60	$5.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Finan Dermatopathology Laboratory, P.C. — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	1	340	650	$40	$73.6K
88312	22	240	70	$70	$34K
88341	24	230	220	$30	$11.4K
88342	14	260	120	$50	$10.5K
88313	86	210	70	$40	$10.2K
88304	2	220	60	$20	$1.8K

Nearby Providers

Other providers in the same ZIP code as Finan Dermatopathology Laboratory, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Eye Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$1.8M	$0
Paul Kaufman	GA	Ophthalmology Physician	$1.7M	$0
Jessica Mccluskey	GA	Ophthalmology Physician	$1.3M	$0
Woolfson Ambulatory Surgery Center, LLC	GA	Ophthalmologic Surgery Clinic/Center	$861.9K	$0
Merinda Herron	GA	Pediatrics Physician	$0	$770.9K
Mid Physician Network (oh), LLC	GA	General Practice Physician	$0	$756.5K
Kirk Paulk	GA	Internal Medicine Physician	$711.8K	$0
Nandini Setia	GA	Rheumatology Physician	$629.3K	$0
Mark Berman	GA	Ophthalmology Physician	$395.1K	$0
Marco Rodriguez	GA	Emergency Medicine Physician	$22.1K	$370.8K

Finan Dermatopathology Laboratory, P.C. — Billing Profile & Reimbursement Data

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Finan Dermatopathology Laboratory, P.C. — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References