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    OpenPayerNPI Medicare & MedicaidHeidi Hamilton
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    Heidi Hamilton — Billing Profile & Reimbursement Data

    NPI 1780904128 · Charleston, SC · Anatomic Pathology & Clinical Pathology Physician

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    Heidi Hamilton is a anatomic pathology & clinical pathology physician provider located in Charleston, South Carolina. This profile covers 18 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationHeidi Hamilton
    Address169 Ashley Ave
    CityCharleston
    StateSC
    ZIP29425
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJune 8, 2010

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

    Payer SourceTotal Paid
    Medicare$93.2K
    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.

    18 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…1,400$30$43.4K
    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…240$60$14.8K
    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…410$20$9.9K
    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,…200$30$6.6K
    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.110$50$5.6K
    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…170$20$3.7K
    88172The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate immediately after aspiration to determine whether a sample satisfactory for diagnosis…60$30$1.6K
    88177The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate to determine immediately whether a satisfactory sample is present to allow for…90$20$1.5K
    88361The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. The lab analyst processes the slides using computer assisted…30$30$1.1K
    88311The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations.90$10$870

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830561240620$30$50.2K
    8834137140290$30$10.5K
    8830716130120$60$8.5K
    8834247160130$40$8.1K
    8831213815040$50$7.4K
    88173167070$60$5.3K
    88112226090$30$4.9K
    84165142070$10$4.2K
    88361394060$30$3.1K
    88360597050$40$2.8K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Leila KutobSCAnatomic Pathology & Clinical Pathology Physician$100.4K$0
    Julie RobinsonSCAnatomic Pathology & Clinical Pathology Physician$92.4K$0
    Catherine JeffordsSCAnatomic Pathology & Clinical Pathology Physician$86.8K$0
    David HurrayMTDermatopathology (Pathology) Physician$84.3K$0
    Russell DoddsSCAnatomic Pathology & Clinical Pathology Physician$41.9K$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. South Carolina Distribution
    Heidi Hamilton — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina