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NPI 1578717997 · Beckley, WV · Dermatopathology Physician
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Adeel Ahmad is a dermatopathology physician provider located in Beckley, West Virginia. This profile covers 6 Medicare and 1 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 | Adeel Ahmad |
| Address | 94 Brookshire Ln |
| City | Beckley |
| State | WV |
| ZIP | 25801 |
| Taxonomy | Dermatopathology Physician |
| NPI Enumerated | November 12, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $451.3K |
| Medicaid | $1K |
ADEEL AHMAD is reporting a dermatopathology-focused mix of services: the top Medicare codes are 88305, 88341, 88342 and supportive special-stain codes such as 88312, which—based on their descriptions—represent level IV surgical pathology examinations, immunohistochemistry, and special staining. This code mix indicates a lab-centric pathology operation that generates revenue from specimen interpretation and specialized stains rather than from office-based evaluation or procedural dermatology visits.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 89.3% of the provider’s total Medicare revenue, with 88305 contributing $322.7K (71.2% of Medicare revenue), 88341 contributing $42.1K (9.3%), and 88342 contributing $40K (8.8%). This concentration means a small set of pathology services drives the bulk of billed Medicare dollars.
Medicaid activity is negligible relative to Medicare: total Medicaid revenue is $1K and the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue, with that entire amount attributable to 88305 (30 claims, $34 avg paid/claim). In effect, this provider operates as effectively single-payer with respect to scale, with Medicare overwhelmingly dominant (Medicare revenue $451.3K vs. Medicaid $1K).
Operational throughput is evident in claim counts and average payments: 88305 shows 5.8K claims at $56 avg paid/claim for $322.7K revenue, while IHC-related codes show substantial activity (88341: 619 claims, $68 avg; 88342: 500 claims, $80 avg). These volumes and per-claim payment levels are consistent with an established pathology lab workflow focused on high-volume specimen processing and interpretation.
Competitive standing on core codes is mixed but generally characterized as typical: 88305 ranks #529 of 14580 nationally (96th percentile) and is labeled 'typical, unremarkable volume for this code'; 88342 ranks #684 of 11370 (94th percentile) and 88341 ranks #1105 of 10274 (89th percentile), both also labeled as 'typical, unremarkable volume'. For Medicaid in-state comparison, 88305 ranks #75 of 81 (8th percentile) and is likewise described as 'typical, unremarkable volume for this code', indicating limited in-state Medicaid presence despite Medicare volume.
The provider’s NPI tenure is long-standing: the NPI was enumerated (registered) on 2008-11-12 (~18 years ago), which supports the inference of an established practice footprint and sustained billing relationships with Medicare. That tenure, combined with concentrated code-level revenue, suggests continuity in the same lab/service-line over time.
Concentration risk is material to the practice economics: because the top 3 Medicare codes make up 89.3% of Medicare revenue, shifts in reimbursement, utilization, or referral patterns for 88305, 88341, or 88342 would disproportionately affect total revenue. The virtually absent Medicaid footprint (100.0% of $1K coming from one code) provides little diversification against payer-specific policy or rate changes.
From a contracting and network strategy perspective, the provider presents as a high-volume Medicare pathology contributor for a narrow set of services but not a major Medicaid participant. Analysts evaluating partnership, network inclusion, or rate negotiation should weigh the strong Medicare dependence (Medicare revenue $451.3K) and the fact that Medicaid contributes $1K in revenue with all Medicaid billing centered on 88305.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
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… | 5,760 | $60 | $322.7K |
| 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… | 620 | $70 | $42.1K |
| 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,… | 500 | $80 | $40K |
| 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… | 410 | $90 | $36.4K |
| 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… | 270 | $30 | $9.2K |
| 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,… | 50 | $60 | $2.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
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.
1 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… | 30 | $30 | $1K |
How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. West Virginia median
1 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… | 75 | 80 | 1,660 | $50 | $218.3K |
Other providers in the same ZIP code as Adeel Ahmad, ranked by combined Medicare and Medicaid revenue.
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