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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDerek Mathis
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    Derek Mathis — Billing Profile & Reimbursement Data

    NPI 1679796544 · San Antonio, TX · Neuropathology Physician

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    Derek Mathis is a neuropathology physician provider located in San Antonio, Texas. This profile covers 20 Medicare and 0 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 TypeIndividual
    OrganizationDerek Mathis
    Address7700 Floyd Curl Dr
    CitySan Antonio
    StateTX
    ZIP78229
    TaxonomyNeuropathology Physician
    NPI EnumeratedApril 10, 2007

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

    Payer SourceTotal Paid
    Medicare$48.5K
    Medicaid$0

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…140$60$8.6K
    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…380$20$8K
    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…270$30$7.2K
    80503At the request of a physician or other qualified healthcare provider, the pathologist performs a consultation for a clinical problem requiring straightforward medical judgment to help clarify…250$20$4.3K
    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,…110$30$2.9K
    88108The analyst prepares smears of cytopathology fluids, washings, or brushings, except for cervical or vaginal fluid, using a concentration technique and interprets his findings. Cytopathology is the…160$20$2.8K
    88333Pathology consultation during surgery provides necessary and precise information pertaining to diagnosis and prognosis that aids a surgeon in deciding whether to proceed further during surgery.…60$50$2.7K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…20$110$2.3K
    86077The lab analyst performs a cross match of a specimen that requires interpretation and a written report from the blood bank physician due to a difficult cross match, evaluation of irregular…60$40$2.1K
    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…40$50$1.9K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    883057051,120400$40$51.6K
    8831222658060$60$9.7K
    86077114030$40$9.3K
    88342403910100$50$8.9K
    88341156810180$30$8.9K
    8831334955080$40$6.7K
    8830711466070$70$5.9K
    8836023937060$40$4.7K
    8833112836030$60$3.9K
    8830912126020$110$2.6K

    Showing 1–10 of 20

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Derek Mathis, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kyle MeinkeTXAnatomic Pathology & Clinical Pathology Physician$99.3K$0
    Alan BrownTXAnatomic Pathology & Clinical Pathology Physician$91.7K$0
    August MoritzTXAnatomic Pathology & Clinical Pathology Physician$78.2K$0
    Theodore SniderTXAnatomic Pathology & Clinical Pathology Physician$71.2K$0
    Christine LiangTXAnatomic Pathology & Clinical Pathology Physician$67.8K$0
    Russell FetzerTXAnatomic Pathology & Clinical Pathology Physician$65.4K$0
    Paul RosenstielTXAnatomic Pathology & Clinical Pathology Physician$59.7K$0
    Justin CaronTXAnatomic Pathology & Clinical Pathology Physician$54.9K$0
    Shahnila LatifTXAnatomic Pathology & Clinical Pathology Physician$54.8K$0
    Michelle IversonTXAnatomic Pathology & Clinical Pathology Physician$53.3K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Derek Mathis — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas