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NPI 1639365133 · Los Angeles, CA · Anatomic Pathology & Clinical Pathology Physician
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Marisol Penichet is a anatomic pathology & clinical pathology physician provider located in Los Angeles, California. This profile covers 11 Medicare and 13 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 | Marisol Penichet |
| Address | 2208 W 7th St |
| City | Los Angeles |
| State | CA |
| ZIP | 90057 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | September 18, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $45.8K |
| Medicaid | $2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 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… | 810 | $30 | $25K |
| 88307 | The 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… | 90 | $70 | $6.4K |
| 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… | 250 | $20 | $6K |
| 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… | 110 | $20 | $2.2K |
| 88104 | The analyst prepares smears of cytopathology fluids, washings, or brushings, except for cervical or vaginal fluid, and interprets his findings. Cytopathology is the study of cellular changes in… | 90 | $20 | $2.1K |
| 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,… | 60 | $30 | $1.8K |
| 88311 | The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations. | 100 | $10 | $1K |
| 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… | 90 | $10 | $850 |
| 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,… | 40 | $10 | $380 |
| 88300 | The physician, typically a pathologist, performs a level I examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 50 | $1 | $210 |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 88305 | 538 | 1,580 | 450 | $40 | $51.3K |
| 88341 | 473 | 920 | 260 | $40 | $15.7K |
| 88312 | 250 | 730 | 70 | $70 | $14.3K |
| 88342 | 732 | 1,000 | 120 | $50 | $11.2K |
| 88313 | 488 | 670 | 80 | $40 | $9.9K |
| 88307 | 347 | 720 | 90 | $80 | $9.5K |
| 88304 | 227 | 830 | 60 | $20 | $1.7K |
| 88311 | 160 | 610 | 60 | $10 | $1.2K |
| 88104 | 9 | 80 | 40 | $20 | $1.1K |
| 88302 | 105 | 150 | 20 | $10 | $230 |
Showing 1–10 of 11
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.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 85025 | A 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… | 540 | $1 | $540 |
| 80053 | The 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. | 220 | $1 | $430 |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 360 | $1 | $360 |
| 84484 | The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and… | 100 | $1 | $210 |
| 85610 | Prothrombin 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… | 100 | $1 | $100 |
| 85730 | The analyst performs the technical lab test using plasma or whole blood to measure partial thromboplastin time, PTT, also called APTT, activated partial thromboplastin time. The PTT assay can help… | 70 | $1 | $70 |
| 87040 | The lab analyst performs a bacterial culture on blood, and isolates and presumptively identifies any bacteria that grow on selected aerobic media. This code also includes work for anaerobic culture,… | 30 | $1 | $60 |
| 82550 | The lab analyst measures the amount of total creatine kinase in a patient specimen. Creatine kinase, or CK, is an enzyme found in various tissue and cell types such as the heart, brain, or muscles… | 50 | $1 | $50 |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 20 | $1 | $50 |
| 83690 | The lab analyst measures the amount of lipase enzyme in the patient specimen. Lipase is an enzyme that the pancreas secretes to help in the absorption of fat. | 40 | $1 | $40 |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 80053 | The 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. | 1,273 | 1,720 | 1,360 | $10 | $165.3K |
| 85025 | A 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… | 1,277 | 2,100 | 1,130 | $1 | $83.5K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 1,274 | 1,360 | 590 | $10 | $74.1K |
| 84484 | The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and… | 592 | 650 | 4,540 | $10 | $69.6K |
| 80048 | The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood… | 732 | 1,120 | 1,000 | $10 | $58.9K |
| 83690 | The lab analyst measures the amount of lipase enzyme in the patient specimen. Lipase is an enzyme that the pancreas secretes to help in the absorption of fat. | 688 | 740 | 3,710 | $1 | $44.9K |
| 87040 | The lab analyst performs a bacterial culture on blood, and isolates and presumptively identifies any bacteria that grow on selected aerobic media. This code also includes work for anaerobic culture,… | 532 | 560 | 2,110 | $10 | $29.9K |
| 85610 | Prothrombin 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… | 787 | 970 | 1,410 | $1 | $17.1K |
| 85730 | The analyst performs the technical lab test using plasma or whole blood to measure partial thromboplastin time, PTT, also called APTT, activated partial thromboplastin time. The PTT assay can help… | 618 | 720 | 1,640 | $1 | $16.6K |
| 80076 | The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes. | 615 | 650 | 420 | $1 | $16K |
Showing 1–10 of 13
Other providers in the same ZIP code as Marisol Penichet, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Altamed Health Services Corp | CA | Federally Qualified Health Center (FQHC) | $0 | $39.5M |
| Express Rx Inc | CA | Durable Medical Equipment & Medical Supplies | $0 | $27.3M |
| Abdul Khan | CA | General Practice Physician | $1.2M | $5.1K |
| Daisy Bautista | CA | Family Medicine Physician | $1M | $0 |
| Addiction Research And Treatment, Inc. | CA | Substance Use Disorder Rehabilitation Clinic/Center | $580K | $12K |
| Michael Lepera | CA | Internal Medicine Physician | $584.9K | $1.5K |
| Edward Mcpherson | CA | Orthopaedic Surgery Physician | $344.9K | $0 |
| Jeko Behfarin | CA | General Practice Physician | $251.9K | $5.5K |
| Samuel Lee | CA | Urology Physician | $216.1K | $0 |
| Brian Abary | CA | Clinical Psychologist | $208.5K | $0 |
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