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    OpenPayerNPI Medicare & MedicaidDenis Mccarthy
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    Denis Mccarthy — Billing Profile & Reimbursement Data

    NPI 1598706624 · Springfield, OR · Anatomic Pathology & Clinical Pathology Physician

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    Denis Mccarthy is a anatomic pathology & clinical pathology physician provider located in Springfield, Oregon. This profile covers 21 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDenis Mccarthy
    Address123 International Way
    CitySpringfield
    StateOR
    ZIP97477
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJune 9, 2006

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

    Payer SourceTotal Paid
    Medicare$125.6K
    Medicaid$0

    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.

    21 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…1,230$30$37K
    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…220$90$20.2K
    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…370$30$11.4K
    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.110$90$10.6K
    88360The 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…120$80$9.2K
    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,…190$40$7.6K
    88112Selective 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…190$30$5.5K
    88309The 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…50$110$5.3K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.50$80$4.2K
    10005Under ultrasound guidance, the provider performs a fine needle aspiration (FNA), a diagnostic procedure that involves collecting a specimen from tissue, a cyst, or mass using a specialized needle and…40$100$4.1K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830539270200$30$21.4K
    8830769080$70$6.6K
    8834118110160$30$6.2K
    8762461040$30$6K
    883422713090$40$5.4K
    8817343060$70$4K
    88360106070$40$3.6K
    8811264080$30$3K
    88331114030$50$2.8K
    8830914020$110$2.5K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pathology Consultants, PCORAnatomic Pathology & Clinical Pathology Physician$0$5.5M
    Douglas HansenWIAnatomic Pathology & Clinical Pathology Physician$1.4M$2.9K
    Joe McfarlaneORAnatomic Pathology & Clinical Pathology Physician$200.2K$0
    Lauren HammockORAnatomic Pathology & Clinical Pathology Physician$169.9K$0
    Misty PayneORCytopathology Physician$138.7K$0
    Deven SmithORAnatomic Pathology & Clinical Pathology Physician$124.5K$0
    Claire MurphyORAnatomic Pathology & Clinical Pathology Physician$120.1K$0
    Lyle LawnickiWIAnatomic Pathology & Clinical Pathology Physician$106.6K$0
    Colin NewbillORAnatomic Pathology & Clinical Pathology Physician$104.6K$0
    Lamont WettsteinORAnatomic Pathology & Clinical Pathology Physician$68.7K$27K

    Nearby Providers

    Other providers in the same ZIP code as Denis Mccarthy, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mckenzie-willamette Regional Medical Center Associates LLCORGeneral Acute Care Hospital$0$44.6M
    PeacehealthORGeneral Acute Care Hospital$0$30.7M
    Lane County OregonORFederally Qualified Health Center (FQHC)$0$20.6M
    Springfield Treatment CenterORMethadone Clinic$0$20.5M
    Mental Health For Children, IncORMental Health Counselor$0$12.7M
    G Street Integrated HealthORClinic/Center$0$9.3M
    Radiology Associates PCORDiagnostic Radiology Physician$0$7.8M
    Oregon Endoscopy Center, LLCORAmbulatory Surgical Clinic/Center$919.2K$5.6M
    PeacehealthORHospitalist Physician$0$5.5M
    Womens Care, PCORObstetrics & Gynecology Physician$0$5.3M

    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. Oregon Distribution
    Denis Mccarthy — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon