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    OpenPayerNPI Medicare & MedicaidPathology Specialists Of New England,pa
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    Pathology Specialists Of New England,pa — Billing Profile & Reimbursement Data

    NPI 1639185846 · Manchester, NH · Anatomic Pathology & Clinical Pathology Physician

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    Pathology Specialists Of New England,pa is a anatomic pathology & clinical pathology physician provider located in Manchester, New Hampshire. This profile covers 0 Medicare and 6 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 TypeOrganization
    OrganizationPathology Specialists Of New England,pa
    Address1 Elliot Way
    CityManchester
    StateNH
    ZIP03103
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJuly 31, 2006

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

    Payer SourceTotal Paid
    Medicaid$323.9K
    Medicare$0

    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.

    6 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…22,470$10$314.6K
    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,…1,190$1$4.8K
    88312The 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…310$10$1.8K
    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…50$30$1.8K
    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…60$10$570
    88304The 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…60$10$340

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Hampshire median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2401,000$30$92.2K
    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…810130$30$16.2K
    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…510110$50$11.6K
    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,…420830$10$7.8K
    88312The 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…21050$20$4.1K
    88304The 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…810110$20$4.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Pathology Specialists Of New England,pa, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elizabeth LesterMADermatology Physician$184.9K$0
    Karen WuNHDermatopathology (Pathology) Physician$170.1K$0
    Kevin AndersonNHAnatomic Pathology & Clinical Pathology Physician$83.5K$20.7K
    Weldon SanfordNHAnatomic Pathology & Clinical Pathology Physician$99.4K$0
    Katy VeprauskasMEAnatomic Pathology Physician$81.6K$0
    Anil DewanNHAnatomic Pathology & Clinical Pathology Physician$68.3K$0
    Heather CrowleyNHAnatomic Pathology & Clinical Pathology Physician$63.9K$0
    Kremena StarNHAnatomic Pathology & Clinical Pathology Physician$62.7K$0
    Casey RankinsNHHematology (Pathology) Physician$51.2K$0
    James SmootNHAnatomic Pathology & Clinical Pathology Physician$46.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Pathology Specialists Of New England,pa, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Mental Health Center Of Greater ManchesterNHMental Health Clinic/Center (Including Community Mental Health Center)$0$143.9M
    Easter Seals New Hampshire, IncNHDevelopmental Disabilities Clinic/Center$0$63.1M
    Elliot Hospital Of The City Of ManchesterNHGeneral Acute Care Hospital$0$60.5M
    Easter Seals New Hampshire, IncNHDevelopmental Disabilities Clinic/Center$0$37.9M
    Metro Treatment Of New Hampshire, LPNHMethadone Clinic$859.8K$15.4M
    Manchester Alcoholism Rehabilitation CenterNHSubstance Use Disorder Rehabilitation Clinic/Center$0$16M
    Minuteman Medical Inc.NHDurable Medical Equipment & Medical Supplies$0$15M
    Factor Dental, IncNHPoint of Service$0$12.5M
    Bayada Home Health Care, Inc.NHHome Health Agency$0$9.3M
    Lifeshare Management Group, Inc.NHIn Home Supportive Care Agency$0$8.7M

    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.

    Medicaid Revenue by Year vs. New Hampshire Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Hampshire Distribution
    Pathology Specialists Of New England,pa — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire