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NPI 1679738934 · Knoxville, TN · Clinical Medical Laboratory
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Pathology Laboratories West PLLC is a clinical medical laboratory provider located in Knoxville, Tennessee. This profile covers 14 Medicare and 2 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 | Organization |
| Organization | Pathology Laboratories West PLLC |
| Address | 9303 Park West Blvd |
| City | Knoxville |
| State | TN |
| ZIP | 37923 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | July 25, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $54.5K |
| Medicaid | $7.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 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… | 250 | $50 | $13K |
| 88189 | The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers. | 100 | $60 | $6.3K |
| 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,… | 100 | $60 | $6K |
| 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… | 30 | $170 | $5.7K |
| 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… | 60 | $60 | $3.8K |
| 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… | 130 | $30 | $3.8K |
| 88374 | The lab analyst applies a single multiplex in situ hybridization probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. The lab analyst processes the slides… | 120 | $30 | $3.7K |
| 88360 | The 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… | 30 | $90 | $2.8K |
| 85097 | The clinician, typically a pathologist, interprets a smear prepared from a sample of bone marrow. | 50 | $50 | $2.7K |
| 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,… | 40 | $70 | $2.5K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 88305 | 291 | 420 | 500 | $30 | $55.1K |
| 88374 | 15 | 20 | 180 | $80 | $36.7K |
| 88189 | 13 | 50 | 50 | $60 | $12.6K |
| 88342 | 273 | 310 | 120 | $50 | $11.6K |
| 88341 | 259 | 280 | 210 | $30 | $11.2K |
| 88313 | 79 | 200 | 70 | $30 | $7.5K |
| 88307 | 186 | 220 | 90 | $70 | $7.5K |
| 88331 | 90 | 120 | 30 | $60 | $5.1K |
| 88360 | 98 | 140 | 60 | $40 | $4K |
| 85097 | 15 | 50 | 40 | $40 | $3.7K |
Showing 1–10 of 14
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.
2 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… | 400 | $20 | $6.8K |
| 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… | 110 | $10 | $950 |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 121 | 200 | 600 | $30 | $168.3K |
| 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… | 38 | 60 | 200 | $10 | $14.6K |
Other providers in the same ZIP code as Pathology Laboratories West PLLC, ranked by combined Medicare and Medicaid revenue.
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