Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Lapinski
    Ask Trek AI about this page

    James Lapinski — Billing Profile & Reimbursement Data

    NPI 1730346875 · Cleveland, OH · Anatomic Pathology & Clinical Pathology Physician

    Customize your policy alerts

    Sign up for James Lapinski — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    James Lapinski is a anatomic pathology & clinical pathology physician provider located in Cleveland, Ohio. This profile covers 32 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJames Lapinski
    AddressCleveland Clinic Foundation 9500 Euclid Ave
    CityCleveland
    StateOH
    ZIP44195
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedMay 16, 2008

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

    Payer SourceTotal Paid
    Medicare$316.1K
    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.8,340$10$83.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.8,370$10$66.9K
    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…8,000$10$64K
    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…1,680$30$41.9K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.1,210$10$8.4K
    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…110$60$7.1K
    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…60$110$6.7K
    83615The lab analyst measures the lactate dehydrogenase, typically in a serum sample. Lactate dehydrogenase is found in many body tissues, especially in the liver, kidney, and heart, and also in red blood…1,000$10$6K
    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…620$10$5K
    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,…150$30$3.8K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830557560470$40$39.2K
    8005310520100$10$19.6K
    8444323446070$20$18.9K
    8502511610110$10$11.7K
    85027219070$10$10.5K
    88341255440200$30$8K
    800481935060$10$6.2K
    80069137050$10$6.1K
    837351215040$10$5.7K
    88342138460100$40$5.6K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Cleveland Clinic FoundationOHGeneral Acute Care Hospital$0$864.1M
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Partners Physician GroupOHSurgery Physician$0$28.5M
    Quick Med Urgent Care LLCOHUrgent Care Clinic/Center$0$21.8M
    Clinic Medical Services Company LLCOHDiagnostic Radiology Physician$0$10.8M
    Cleveland Clinic Home Care ServicesOHCommunity Based Hospice Care Agency$0$10.8M
    The Cleveland Clinic FoundationOHClinical Medical Laboratory$144K$9M
    Wooster Clinic, LLCOHMulti-Specialty Clinic/Center$0$6.9M
    Community Memorial Hospital AssociationMNCritical Access Hospital$0$4.3M

    Nearby Providers

    Other providers in the same ZIP code as James Lapinski, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Walter HenricksOHAnatomic Pathology Physician$1.9M$880
    Yasha ModiOHOphthalmology Physician$1.4M$279.8K
    Shalini MoningiOHRadiation Oncology Physician$723.2K$0
    Lawrence TsaoOHHematology (Pathology) Physician$659.9K$0
    Balasubramanya RangaswamyOHDiagnostic Radiology Physician$549.5K$45.6K
    Ananth SastryOHRetina Specialist (Ophthalmology) Physician$557.7K$0
    Alex YuanOHOphthalmology Physician$471.3K$0
    Pamela BryantOHFamily Nurse Practitioner$469.8K$0
    Shiby PaulOHRadiation Oncology Physician$417.5K$0
    Jeffrey RossiOHInternal Medicine Physician$408.2K$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. Ohio Distribution
    James Lapinski — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio