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NPI 1740247931 · Cleveland, OH · Anatomic Pathology Physician
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Walter Henricks is a anatomic pathology physician provider located in Cleveland, Ohio. This profile covers 259 Medicare and 7 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 | Individual |
| Organization | Walter Henricks |
| Address | 9500 Euclid Ave |
| City | Cleveland |
| State | OH |
| ZIP | 44195 |
| Taxonomy | Anatomic Pathology Physician |
| NPI Enumerated | May 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.9M |
| Medicaid | $880 |
Taxonomy and code mix indicate this is a combined clinical laboratory and anatomic pathology operation: the provider is listed as Anatomic Pathology Physician and the Medicare code mix is heavy in phlebotomy and routine chemistry/hematology panels (e.g., 36415, 80053, 80061, 85025, 83036) alongside interpretation and specialized pathology procedures (e.g., 88341, 88342, 88323, 88377). The presence of immunohistochemistry/in situ hybridization codes (88341, 88377, 88365) plus molecular/infectious testing (87505) suggests the practice provides both high-volume outpatient lab draws and higher-complexity pathology services under one billing entity.
Medicare revenue is meaningfully concentrated in a small set of services: the precomputed top-3 Medicare codes account for 36.0% of this provider's total Medicare revenue, led by 36415 ($190.4K, 14.0%), 88341 ($161.8K, 11.9%), and 82306 ($135.3K, 10.0%). This concentration shows substantial reliance on a mix of routine specimen collection and high-value pathology/diagnostic tests for Medicare income.
Medicaid activity is negligible in scale compared with Medicare and is highly concentrated: total Medicaid revenue is $879 with the top-3 Medicaid codes accounting for 100.0% of that amount. Medicaid billing is dominated by 36415 ($720, 92.2%) and 80053 ($61, 7.8%), while several Medicaid-listed codes show $0 avg paid/claim and $0 revenue (e.g., 85027, 80048, 83735, 85025, 82306), indicating either nonpayment for those lines or billing with no recorded Medicaid reimbursement.
Payer mix is effectively single-payer centric: Medicare revenue of $1.9M dwarfs Medicaid revenue of $879, so the provider’s financial footprint and operational scale are driven almost entirely by Medicare activity rather than Medicaid. For network planning or risk adjustment, treat this entity as a Medicare-focused pathology/lab provider rather than a balanced Medicaid/Medicare operation.
On Medicare competitive standing this provider is a clear high-volume outlier for several codes: 36415 ranks #113 of 86467 providers nationally at the 100th percentile and is labeled notably above typical national volume, 88341 ranks #41 of 10274 providers nationally at the 100th percentile and is marked an extreme outlier, and 88323 ranks #3 of 452 providers nationally at the 100th percentile (extreme outlier). Those ranks indicate the provider is operating at significantly higher volumes than peers on both phlebotomy and specialized pathology interpretation codes, consistent with a dominant operational role in those service lines.
In contrast, the provider’s Medicaid competitive standing within Ohio is modest: 36415 for Medicaid ranks #496 of 874 providers in-state (43th percentile) and 80053 ranks #253 of 274 providers in-state (8th percentile), so despite 36415 comprising 92.2% of the provider’s Medicaid revenue, the in-state rank is middle-of-pack to below-average. This highlights that high national Medicare volume does not translate into a similarly prominent position in the state’s Medicaid lab market.
Several individual codes are flagged as statistical outliers, reinforcing specialization: 88341 is described as an extreme outlier (far above typical national volume) and 36415 is described as notably above typical national volume; additionally, multiple pathology codes (for example 88323 and 88342) sit at very high national percentiles. These outlier labels point to unusually high throughput for both specimen collection and pathology interpretation relative to national peers, which has implications for capacity, referral patterns, and contracting for high-volume lab services.
Long tenure supports an established practice pattern: the NPI is enumerated 2006-05-01 (~20 years ago), and the provider’s lifetime Medicare revenue of $1.9M suggests a sustained Medicare billing presence. Combined with the concentrated, high-volume code mix, the data are consistent with a longstanding, stable lab/pathology operation rather than a recent or transient billing profile.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
259 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 23,790 | $10 | $190.4K |
| 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… | 3,760 | $40 | $161.8K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 4,670 | $30 | $135.3K |
| 80053 | The 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. | 8,910 | $10 | $89.1K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 5,540 | $20 | $88.7K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 6,550 | $10 | $85.1K |
| 83970 | Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function. | 1,730 | $40 | $69.4K |
| 85025 | A 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… | 7,840 | $10 | $62.7K |
| 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,… | 1,180 | $50 | $57.9K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 5,660 | $10 | $56.6K |
Showing 1–10 of 259
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 259 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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 360 | $1 | $720 |
| 80053 | The 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. | 60 | $1 | $60 |
| 80048 | The 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… | 90 | $0 | $0 |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 10 | $0 | $0 |
| 83735 | The lab analyst performs a test to measure the amount of magnesium in a patient specimen. | 20 | $0 | $0 |
| 85025 | A 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… | 20 | $0 | $0 |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 270 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 80053 | The 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. | 253 | 270 | 8,700 | $10 | $353.7K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 262 | 260 | 760 | $20 | $187.3K |
| 80048 | The 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… | 216 | 230 | 4,530 | $10 | $140.8K |
| 85025 | A 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… | 401 | 410 | 2,650 | $1 | $124.4K |
| 85027 | The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the… | 188 | 230 | 1,720 | $1 | $52.4K |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 496 | 870 | 590 | $1 | $31.5K |
| 83735 | The lab analyst performs a test to measure the amount of magnesium in a patient specimen. | 303 | 310 | 1,070 | $1 | $19.5K |
Other providers in the same ZIP code as Walter Henricks, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Yasha Modi | OH | Ophthalmology Physician | $1.4M | $279.8K |
| Shalini Moningi | OH | Radiation Oncology Physician | $723.2K | $0 |
| Lawrence Tsao | OH | Hematology (Pathology) Physician | $659.9K | $0 |
| Balasubramanya Rangaswamy | OH | Diagnostic Radiology Physician | $549.5K | $45.6K |
| Ananth Sastry | OH | Retina Specialist (Ophthalmology) Physician | $557.7K | $0 |
| Alex Yuan | OH | Ophthalmology Physician | $471.3K | $0 |
| Pamela Bryant | OH | Family Nurse Practitioner | $469.8K | $0 |
| Shiby Paul | OH | Radiation Oncology Physician | $417.5K | $0 |
| Jeffrey Rossi | OH | Internal Medicine Physician | $408.2K | $0 |
| Khaldoon Shaheen | OH | Internal Medicine Physician | $355.5K | $0 |
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