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    OpenPayerNPI Medicare & MedicaidNaples Pathology Associates PA
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    Naples Pathology Associates PA — Billing Profile & Reimbursement Data

    NPI 1679547756 · Naples, FL · Anatomic Pathology & Clinical Pathology Physician

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    Naples Pathology Associates PA is a anatomic pathology & clinical pathology physician provider located in Naples, Florida. This profile covers 23 Medicare and 126 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
    OrganizationNaples Pathology Associates PA
    Address350 7th St N
    CityNaples
    StateFL
    ZIP34102
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedFebruary 15, 2006

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

    Payer SourceTotal Paid
    Medicaid$3.1M
    Medicare$2.3M

    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.

    23 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…32,800$40$1.4M
    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,…3,870$80$294.4K
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…1,960$80$158.9K
    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…1,330$90$123.3K
    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…1,790$70$119.6K
    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…1,390$80$110.1K
    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…160$230$36.7K
    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…1,290$30$36.1K
    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.200$130$26K
    88313The 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,…140$60$8.6K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830510980570$40$83.5K
    88332337060$40$26.5K
    883122751070$60$24K
    8834131650260$40$20K
    88377174060$90$16.8K
    883428730130$50$16.5K
    88361183060$50$11.9K
    8831315047080$40$11.6K
    8818911714070$70$10.7K
    88307130490100$70$8.9K

    Showing 1–10 of 23

    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.

    126 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87633The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…2,030$300$602K
    87486The lab analyst performs a test for Chlamydia pneumoniae using amplified nucleic acid probe technique. Chlamydia pneumoniae also known as TWAR, Taiwan Acute Respiratory agent, commonly causes mild…11,090$40$432.6K
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…1,430$290$412.7K
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…4,790$70$325.4K
    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.33,710$1$134.8K
    U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc11,610$10$92.8K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…2,320$40$81.2K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.3,600$20$79.2K
    82805The lab analyst measures any number of blood gas parameters using a blood gas analyzer. The test must also include the O2 saturation by direct measurement.4,180$20$71K
    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…2,100$30$69.1K

    Showing 1–10 of 126

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Florida median

    126 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…3290550$110$284.8K
    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.856404,400$10$193.4K
    84520The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.1823001,170$60$186K
    87633The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…38160450$50$115.7K
    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…107440610$40$111.5K
    87389The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…88100370$10$106K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.157340720$10$100.6K
    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…698201,430$1$92.8K
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.222240580$60$92.3K
    83540The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.206620690$30$82.3K

    Showing 1–10 of 126

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Naples Pathology Associates PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gregory HouckFLDermatology Physician$1.4M$0
    Eli PiatigorskyGADermatopathology Physician$1.1M$0
    Adam VogtALAnatomic Pathology Physician$206K$0
    Jeffrey LarkinFLAnatomic Pathology & Clinical Pathology Physician$192K$0
    Dali HuangNEAnatomic Pathology & Clinical Pathology Physician$187.6K$0
    Khurram ShafiqueNDClinical Pathology/Laboratory Medicine Physician$144.7K$0
    Charles KovachFLAnatomic Pathology & Clinical Pathology Physician$139.3K$0
    Horea BailaILAnatomic Pathology & Clinical Pathology Physician$27.7K$81.8K
    Richard WhisnantFLAnatomic Pathology & Clinical Pathology Physician$70.2K$0
    Marilyn NedumcherilNYAnatomic Pathology & Clinical Pathology Physician$8K$0

    Nearby Providers

    Other providers in the same ZIP code as Naples Pathology Associates PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Naples Community Hospital IncFLPsychiatric Hospital$0$26.7M
    Stepping Stone Kids Therapy LLCFLBehavior Analyst$0$10.3M
    Southwest Florida Emergency Management LLCFLEmergency Medicine Physician$0$7.5M
    Ryan HoukFLCardiovascular Disease Physician$2.3M$0
    Joel GrossmanFLMedical Oncology Physician$2.1M$0
    Ronald LevineFLInterventional Cardiology Physician$2M$0
    Ferdy SantiagoFLMedical Oncology Physician$2M$0
    Brett StanalandFLAllergy Physician$1.4M$0
    Pavan AnandFLInternal Medicine Physician$1.4M$0
    Jeffrey LiebermanFLDiagnostic Radiology Physician$1.4M$0

    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. Florida Distribution
    Naples Pathology Associates PA — 7 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Naples Pathology Associates PA — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida