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NPI 1699161729 · Clovis, CA · Clinical Medical Laboratory
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Sierra Pathology Laboratory Inc is a clinical medical laboratory provider located in Clovis, California. This profile covers 30 Medicare and 24 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 | Sierra Pathology Laboratory Inc |
| Address | 305 Park Creek Dr |
| City | Clovis |
| State | CA |
| ZIP | 93611 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | April 15, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $975.7K |
| Medicaid | $836.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
30 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… | 10,040 | $50 | $541.9K |
| 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,… | 1,090 | $80 | $89.3K |
| 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… | 1,060 | $70 | $76.4K |
| 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… | 410 | $90 | $37.1K |
| 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… | 320 | $100 | $31.4K |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 160 | $190 | $30K |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under… | 1,110 | $30 | $28.9K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 610 | $30 | $20.6K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 490 | $30 | $16.7K |
| 81513 | The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and… | 110 | $140 | $16K |
Showing 1–10 of 30
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
30 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 87798 | 102 | 110 | 1,340 | $30 | $338.2K |
| 87481 | 43 | 100 | 270 | $30 | $72.7K |
| 88305 | 28 | 1,580 | 450 | $40 | $51.3K |
| 81513 | 6 | 20 | 80 | $140 | $41K |
| 88341 | 52 | 920 | 260 | $40 | $15.7K |
| 88312 | 63 | 730 | 70 | $70 | $14.3K |
| G0145 | 7 | 70 | 40 | $30 | $13.1K |
| 88342 | 19 | 1,000 | 120 | $50 | $11.2K |
| 87624 | 7 | 70 | 70 | $30 | $10.8K |
| G0416 | 9 | 240 | 30 | $210 | $10.3K |
Showing 1–10 of 30
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.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 88175 | The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer… | 11,810 | $10 | $153.5K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 7,690 | $20 | $138.4K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 7,700 | $20 | $130.9K |
| 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… | 11,180 | $10 | $100.6K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 5,130 | $20 | $82K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 4,300 | $10 | $60.1K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 2,840 | $20 | $53.9K |
| 81513 | The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and… | 1,440 | $30 | $47.5K |
| 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… | 1,040 | $40 | $44.7K |
| 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,… | 1,470 | $10 | $7.4K |
Showing 1–10 of 24
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
24 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 81513 | The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and… | 15 | 50 | 670 | $40 | $282.6K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 125 | 1,140 | 530 | $20 | $195.6K |
| 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… | 102 | 830 | 880 | $40 | $195.6K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 128 | 1,270 | 450 | $20 | $183.5K |
| 88175 | The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer… | 20 | 210 | 280 | $10 | $160.2K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 33 | 300 | 250 | $10 | $121.5K |
| 87801 | The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique. | 43 | 120 | 250 | $10 | $103.1K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 41 | 310 | 500 | $10 | $101.4K |
| 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 | 270 | 370 | $60 | $95.2K |
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 240 | 400 | 330 | $20 | $67.9K |
Showing 1–10 of 24
Other providers in the same ZIP code as Sierra Pathology Laboratory Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Central Valley Indian Health, Inc | CA | Clinic/Center | $0 | $30M |
| Felipe Ruiz | CA | Foot & Ankle Surgery Podiatrist | $4M | $3K |
| Luis Dehesa | CA | Dermatology Physician | $615.4K | $80 |
| Nadeem Rahman | CA | Urology Physician | $556.4K | $910 |
| Thomas Minor | CA | Urology Physician | $513.9K | $0 |
| Mark Alson | CA | Diagnostic Radiology Physician | $446.7K | $0 |
| Christopher Kinter | CA | Vascular Surgery Physician | $405.8K | $0 |
| Jonathan Crosby | CA | Physician Assistant | $308.3K | $0 |
| Longs Drug Stores California LLC | CA | Pharmacy | $291K | $0 |
| Kyrian Obidiegwu | CA | Physician Assistant | $251.3K | $0 |
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