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    OpenPayerNPI Medicare & MedicaidGreat Lakes Pathologists Sc
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    Great Lakes Pathologists Sc — Billing Profile & Reimbursement Data

    NPI 1689695934 · West Allis, WI · Anatomic Pathology & Clinical Pathology Physician

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    Great Lakes Pathologists Sc is a anatomic pathology & clinical pathology physician provider located in West Allis, Wisconsin. This profile covers 0 Medicare and 159 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
    OrganizationGreat Lakes Pathologists Sc
    Address8901 W Lincoln Ave
    CityWest Allis
    StateWI
    ZIP53227
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJuly 22, 2006

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

    Payer SourceTotal Paid
    Medicaid$6.4M
    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.

    159 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…85,940$40$3.8M
    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…9,800$30$333.3K
    88141The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by…19,460$20$330.8K
    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…4,050$80$303.9K
    0241UN/A6,780$30$176.2K
    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…5,790$30$150.4K
    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…131,890$1$131.9K
    84165The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…11,530$10$126.8K
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…2,850$40$105.3K
    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.105,130$1$105.1K

    Showing 1–10 of 159

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Wisconsin median

    159 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…38170720$70$272.7K
    81479Use 81479 to report a molecular pathology procedure that does not have a specific code.3101,650$180$265K
    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.52603,590$20$232.2K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.20190620$40$226.6K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.36160990$30$191.8K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.2160970$30$180.5K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.36160970$30$174.2K
    80048The 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…122202,770$20$120.2K
    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…1190940$20$115.2K
    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…10260750$40$99K

    Showing 1–10 of 159

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Great Lakes Pathologists Sc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mehraboon IraniILBlood Banking & Transfusion Medicine Physician$4.6K$677.4K
    Elizabeth FowlerFLAnatomic Pathology & Clinical Pathology Physician$162.3K$0
    Lyle LawnickiWIAnatomic Pathology & Clinical Pathology Physician$106.6K$0
    Andrew SirefNEAnatomic Pathology & Clinical Pathology Physician$71.7K$0
    Dean-yar TigraniWIAnatomic Pathology & Clinical Pathology Physician$48.8K$3.7K
    Meghan HuppWIAnatomic Pathology & Clinical Pathology Physician$49.3K$2.7K
    Kristen PartykaINAnatomic Pathology & Clinical Pathology Physician$51.8K$0
    Laura TothWIAnatomic Pathology & Clinical Pathology Physician$46.6K$3.1K
    Nagarjun RaoWIAnatomic Pathology & Clinical Pathology Physician$49K$0
    Robert HallWIAnatomic Pathology & Clinical Pathology Physician$45.2K$3.1K

    Nearby Providers

    Other providers in the same ZIP code as Great Lakes Pathologists Sc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A2cl Services, LLCWIClinical Medical Laboratory$19M$98.7M
    West Allis Memorial Hospital, Inc.WIGeneral Acute Care Hospital$0$23.3M
    Visiting Nurse Association Of Wisconsin, Inc.WIHome Infusion Therapy Pharmacy$0$21.3M
    Visiting Nurse Association Of Wisconsin, Inc.WIHome Health Agency$0$15.4M
    Premier Care Of Wisconsin, LLC.WIMethadone Clinic$204.8K$11.2M
    Samer DolaWIHematology (Pathology) Physician$103.3K$5.8M
    Planned Parenthood Of WisconsinWIAmbulatory Family Planning Facility$0$5.2M
    Atlas Healthcare, IncWIHome Health Agency$0$4.5M
    Surgicenter Of Greater Milwaukee, LLCWIAmbulatory Surgical Clinic/Center$0$4.4M
    West Allis School DistrictWILocal Education Agency (LEA)$0$4.3M

    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. Wisconsin Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Great Lakes Pathologists Sc — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin