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    OpenPayerNPI Medicare & MedicaidPathology Services, P.C.
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    Pathology Services, P.C. — Billing Profile & Reimbursement Data

    NPI 1598750226 · North Platte, NE · Clinical Medical Laboratory

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    Pathology Services, P.C. is a clinical medical laboratory provider located in North Platte, Nebraska. This profile covers 15 Medicare and 5 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)

    FieldValue
    Entity TypeOrganization
    OrganizationPathology Services, P.C.
    Address611 W Francis St
    CityNorth Platte
    StateNE
    ZIP69101
    TaxonomyClinical Medical Laboratory
    NPI EnumeratedSeptember 19, 2005

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

    Payer SourceTotal Paid
    Medicare$84K
    Medicaid$16K

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.4,630$10$37K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…2,220$10$17.8K
    83880The lab analyst measures the amount of natriuretic peptide, a hormone made by heart muscle cells, in the patient specimen. Blood levels of the hormone increase in patients with congestive heart…450$40$17K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.320$10$3.1K
    85610Prothrombin time is most commonly measured using the blood plasma. Chemicals like calcium and tissue factor are added to the plasma sample and then the time is noted when the plasma clots. To analyze…600$1$2.4K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…420$1$1.3K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…180$10$1.1K
    85651The lab analyst performs the typical manual erythrocyte sedimentation rate test using whole blood she places in a slender tube. She records the distance in millimeters that the erythrocytes or red…160$1$620
    85018The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.260$1$510
    85014The lab analyst determines the volume percent of red blood cells, called hematocrit, contained in a whole blood specimen.250$1$510

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8005393280180$10$4.6K
    8388035050$40$3.9K
    850255400130$10$2.6K
    3641531,120130$10$2K
    850273213080$10$1.4K
    8387461040$10$690
    84484121030$10$580
    85610218090$1$500
    8537992030$10$500
    82553101020$10$460

    Showing 1–10 of 15

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…2,880$1$8.6K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.6,800$1$6.8K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.40$10$250
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…140$1$140
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…20$1$20

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nebraska median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.1211301,410$10$69.2K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…491501,610$10$47K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.302701,170$1$16.8K
    81001Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…5690640$1$8.3K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…97120190$1$3.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pathology Services, P.C.NEClinical Pathology/Laboratory Medicine Physician$621.3K$424.3K
    Pathology Services, P.C.NEClinical Medical Laboratory$0$302.8K
    Byron BarksdaleNEAnatomic Pathology & Clinical Pathology Physician$195.6K$0
    Oluyomi AsojoOHAnatomic Pathology & Clinical Pathology Physician$64.5K$0
    Nicholas LintelNEAnatomic Pathology & Clinical Pathology Physician$43.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Pathology Services, P.C., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Platte Nebraska Hospital CorporationNEGeneral Acute Care Hospital$0$16.4M
    North Platte Nebraska Hospital CorporationNEMedical Oncology Physician$0$9.5M
    Priority Medical Transport LLCNELand Ambulance$1.4M$2.3M
    Child And Family Therapy Institute Of Nebraska LLCNEMental Health Counselor$0$1.3M
    Midlands Family MedicineNEFamily Medicine Physician$0$1.3M
    North Platte Nebraska Hospital CorporationNEPsychiatric Hospital Unit$0$1.3M
    North Platte Surgery Center LLCNEAmbulatory Surgical Clinic/Center$1.1M$5.7K
    Beacon Of Hope Counseling Center LLCNEMental Health Counselor$0$1.1M
    City Of North PlatteNELand Ambulance$542.6K$405.9K
    Rcg North Platte, LLCNEEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$878.4K

    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. Nebraska Distribution
    Pathology Services, P.C. — 5 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska
    Medicaid Revenue by Year vs. Nebraska Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nebraska Distribution
    Pathology Services, P.C. — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska