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NPI 1740227115 · Norfolk, VA · Clinical Medical Laboratory
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Dominion Pathology Laboratories PC is a clinical medical laboratory provider located in Norfolk, Virginia. This profile covers 10 Medicare and 5 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 | Dominion Pathology Laboratories PC |
| Address | 733 Boush St |
| City | Norfolk |
| State | VA |
| ZIP | 23510 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | June 2, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.9M |
| Medicaid | $271.9K |
DOMINION PATHOLOGY LABORATORIES PC presents as a high-volume clinical pathology operation focused on surgical pathology and immunohistochemical testing: its Medicare mix is dominated by surgical pathology code 88305 and immunostain interpretation codes 88341 and 88342, which together generate the majority of its casework and reporting activity. The specific presence of large volumes of 88305 (surgical pathology level IV) alongside heavy use of single-antibody stains (88341, 88342) indicates the practice performs primary specimen accessioning, microscopic interpretation, and a throughput-intensive immunostain workflow rather than a general multimodality lab. The NPI was enumerated on 2006-06-02 (~20 years ago), consistent with an established laboratory operation with sustained billing history.
Medicare revenue is highly concentrated: the top three Medicare codes (88305, 88341, 88342) account for 92.0% of the provider's total Medicare revenue. Individually, 88305 accounts for $1.5M (52.0% of Medicare revenue), 88341 for $671K (23.3%), and 88342 for $480.5K (16.7%), showing that a small set of pathology and immunostain services drive virtually all Medicare receipts. This concentration implies financial sensitivity to changes in reimbursement or referral patterns for these specific codes.
By payer scale, this provider is Medicare-dominant: lifetime Medicare revenue is $2.9M versus lifetime Medicaid revenue of $271.9K, so Medicare payment volume is an order-of-magnitude larger. While Medicaid activity exists across the same core pathology codes, it represents a much smaller portion of the practice's billed caseload and revenue base, indicating the lab’s commercial and Medicare engagements are the primary drivers of its business.
Medicaid revenue is also highly concentrated within the same service lines: the top three Medicaid codes (88305, 88312, 88342) account for 99.1% of the provider's total Medicaid revenue. On Medicaid the largest contributor is 88305 at $216.1K (79.4% of Medicaid revenue), followed by 88312 at $32.9K (12.1%) and 88342 at $20.6K (7.6%), which shows the provider’s Medicaid footprint mirrors its Medicare specialization but at far lower absolute volumes.
The provider is a national outlier on Medicare for its specialty immunopathology and surgical pathology services: 88305 ranks #42 of 14580 providers nationally (100th percentile; extreme outlier), 88341 ranks #12 of 10274 (100th percentile; extreme outlier), and 88342 ranks #18 of 11370 (100th percentile; extreme outlier). Those national rankings indicate this lab is operating well above typical national volume for those codes and is a major provider of these specific Medicare pathology services. In contrast, its in-state Medicaid ranks are modest — for example 88305 is #47 of 158 in-state (71th percentile; typical, unremarkable volume) — suggesting strong national Medicare volume that is not matched by equivalent statewide Medicaid dominance.
Code-level statistical descriptors reinforce the operational profile: the dataset labels 88305, 88341, and 88342 as "extreme outlier" on Medicare, signaling atypically high volumes relative to peers for those services. Other Medicare codes such as 88312 and 88350 are described as "typical, unremarkable volume" despite contributing small additional Medicare revenue, which suggests the lab’s exceptional scale is concentrated in a narrow set of high-volume surgical pathology and immunostain procedures rather than across a broad menu of ancillary tests.
From a business and competitive standpoint, the combination of long tenure (~20 years), concentrated revenue in high-complexity pathology codes, and extreme national rankings on key codes positions the lab as a specialized, high-throughput pathology provider for Medicare referrals. Payors and network planners should view DOMINION PATHOLOGY LABORATORIES PC as a specialist source for surgical pathology and immunohistochemistry services with significant Medicare-facing capacity but a comparatively modest Medicaid footprint.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 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… | 28,820 | $50 | $1.5M |
| 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… | 10,170 | $70 | $671K |
| 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,… | 6,410 | $80 | $480.5K |
| 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… | 1,480 | $90 | $125.9K |
| 88350 | The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample. Code +88350 describes… | 470 | $90 | $39.5K |
| 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,… | 410 | $60 | $25.7K |
| 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… | 600 | $30 | $18.5K |
| 88346 | The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample. | 120 | $90 | $11.3K |
| 88344 | The lab analyst applies a single multiplex antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,… | 60 | $130 | $7.3K |
| 88311 | The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations. | 150 | $20 | $2.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
5 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… | 4,910 | $40 | $216.1K |
| 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… | 480 | $70 | $32.9K |
| 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,… | 350 | $60 | $20.6K |
| 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… | 10 | $150 | $2.1K |
| 88311 | The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations. | 60 | $10 | $430 |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
5 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… | 47 | 160 | 1,900 | $30 | $129.8K |
| 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… | 40 | 40 | 150 | $30 | $16.8K |
| 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,… | 43 | 90 | 350 | $10 | $14.8K |
| 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… | 12 | 40 | 160 | $20 | $12.1K |
| 88311 | The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations. | 7 | 20 | 50 | $10 | $1.9K |
Other providers in the same ZIP code as Dominion Pathology Laboratories PC, ranked by combined Medicare and Medicaid revenue.
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