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    OpenPayerNPI Medicare & MedicaidWestern Pathology Consultants, Ltd
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    Western Pathology Consultants, Ltd — Billing Profile & Reimbursement Data

    NPI 1770587511 · Reno, NV · Clinical Pathology/Laboratory Medicine Physician

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    Western Pathology Consultants, Ltd is a clinical pathology/laboratory medicine physician provider located in Reno, Nevada. This profile covers 23 Medicare and 59 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)

    FieldValue
    Entity TypeOrganization
    OrganizationWestern Pathology Consultants, Ltd
    Address645 N Arlington Ave Ste 340
    CityReno
    StateNV
    ZIP89503
    TaxonomyClinical Pathology/Laboratory Medicine Physician
    NPI EnumeratedJune 9, 2005

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

    Payer SourceTotal Paid
    Medicaid$553.9K
    Medicare$503.1K

    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.

    23 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…8,940$30$303.8K
    88341The 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…1,270$30$36.7K
    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…470$70$31.4K
    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,…560$40$20.1K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…550$40$19.7K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.240$80$18.2K
    88360The 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…310$50$14.4K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method40$280$10.4K
    88344The 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,…90$110$10K
    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…70$110$7.3K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305480500$40$59.3K
    G041631010$190$11.2K
    88341250210$30$9.7K
    8834421050$100$9.5K
    8817343030$80$7.2K
    8834256080$50$6.3K
    8830715080$70$6.1K
    8836022060$50$5.3K
    8831283040$50$4.2K
    8811234050$30$3.8K

    Showing 1–10 of 23

    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.

    59 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…12,280$40$442K
    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…660$70$43.4K
    88304The 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…920$20$18.3K
    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…190$60$10.6K
    88175The 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…810$10$7.2K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.580$10$7K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.580$10$7K
    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,…260$20$4.4K
    87624The 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.340$10$3.4K
    87660The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.410$10$2.8K

    Showing 1–10 of 59

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nevada median

    59 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…4760680$60$364.3K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.951501,440$20$193.7K
    88175The 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…6105,040$10$149.8K
    87624The 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.6102,380$10$134.6K
    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.491301,600$1$74.9K
    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…490200$20$71.6K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.3890250$10$64.7K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.41100270$10$57.8K
    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…491601,190$1$39.8K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.61801,010$1$38.4K

    Showing 1–10 of 59

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Western Pathology Consultants, Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rajendrakumar IngleNVAnatomic Pathology & Clinical Pathology Physician$45.3K$27.9K
    Michael PowellNVAnatomic Pathology & Clinical Pathology Physician$37.8K$30.7K
    Brian DavisNVAnatomic Pathology & Clinical Pathology Physician$57.4K$0
    Grant HayashiNVAnatomic Pathology & Clinical Pathology Physician$23.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Western Pathology Consultants, Ltd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prime Healthcare Services - Reno LLCNVGeneral Acute Care Hospital$0$15.2M
    Northern Nevada Hiv Outpatient Program, Education And ServicesNVFederally Qualified Health Center (FQHC)$0$8M
    Reno Emergency Physicians Association, PLLCNVEmergency Medicine Physician$0$7.7M
    The Life Change CenterNVAddiction (Substance Use Disorder) Psychologist$201.5K$5.7M
    Reno Orthopaedic Surgery Center LLCNVAmbulatory Surgical Clinic/Center$5.3M$0
    Saint Marys Medical Group Inc.NVPrimary Care Clinic/Center$0$3.1M
    Ridge House, Incorporated.NVSubstance Abuse Rehabilitation Facility$0$2.1M
    Cba Healthcare, LLCNVCommunity/Behavioral Health Agency$0$1.9M
    Surgery Center Of Reno, LLCNVAmbulatory Surgical Clinic/Center$371K$200.3K
    Chad WattsNVAdult Reconstructive Orthopaedic Surgery Physician$523.3K$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. Nevada Distribution
    Western Pathology Consultants, Ltd — 13 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada
    Medicaid Revenue by Year vs. Nevada Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Western Pathology Consultants, Ltd — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada