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NPI 1790787935 · Billings, MT · Clinical Medical Laboratory
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Yellowstone Pathology Institute, Inc. is a clinical medical laboratory provider located in Billings, Montana. This profile covers 40 Medicare and 29 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 | Yellowstone Pathology Institute, Inc. |
| Address | 2900 12th Ave N |
| City | Billings |
| State | MT |
| ZIP | 59101 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | June 1, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.4M |
| Medicare | $777.4K |
Yellowstone Pathology Institute, a Clinical Medical Laboratory, shows a service-line profile dominated by anatomic pathology and immunohistochemistry: Medicare top codes include 88305 ($360.9K, 47.2% of this provider's Medicare revenue), 88341 ($64.8K) and 88307 ($56.5K), while Medicaid top codes include 88305 (16.6K claims, $1.5M, 34.7% of Medicaid revenue) and 88307 (3.4K claims, $623.4K). This mix indicates highest-value activity is surgical pathology examinations (88305/88307) with substantial IHC/molecular adjuncts (88341/88342) rather than primary care lab panels or routine chemistry services.
Revenue concentration is high on a per-payer basis: the top three Medicare codes account for 63.1% of the provider's total Medicare revenue, and the top three Medicaid codes account for 57.6% of total Medicaid revenue. Such concentration signals that changes in reimbursement or referral patterns for a small set of pathology services could materially affect overall revenue.
The provider is effectively Medicaid-dominant by scale: lifetime Medicaid revenue is $4.4M versus total Medicare revenue of $777.4K, making Medicaid the primary revenue source on file for this entity. While both payers appear in the record, the absolute Medicaid dollar volumes are markedly larger and drive the lab’s business footprint in-state.
On Medicare, Yellowstone posts above-typical to extreme volumes for core pathology codes: 88305 ranks #273 of 14580 providers nationally (98th percentile; notably above typical national volume), 88341 ranks #113 of 10274 (99th percentile; notably above typical national volume), and 88307 ranks #14 of 8511 (100th percentile; extreme outlier, far above typical national volume). These national standing signals the lab is a high-volume participant in surgical pathology and ancillary staining at the Medicare level.
State-level competitive standing in Medicaid is dominant for several key lines: 88305 is #3 of 32 providers in-state (94th percentile; notably above typical state volume) and 88307 is #1 of 18 providers in-state (100th percentile; extreme outlier, far above typical state volume). Additional Medicaid leadership appears in cytology and HPV testing where 88175 is #1 of 8 (16.4K claims, $394.1K) and 87624 is #1 of 12 (9.8K claims, $303.1K), indicating a strong market share in women’s health screening and related diagnostic services within Montana.
Cytology and infectious disease testing are clear operational strengths on Medicaid: high volumes for 88175 (16.4K claims, $394.1K) and 87624 (9.8K claims, $303.1K) show the lab processes a large number of cervical cytology and HPV tests. Those code volumes, together with leadership ranks (both #1 in-state for those codes), suggest established contracts or referral relationships with clinicians focused on preventive women's health.
The lab also demonstrates breadth across molecular and specialized testing: Medicaid includes U0003 (4.2K claims, $272.2K) and U0005 (3.9K claims, $82.1K) for SARS-CoV-2 PCR testing, and flow cytometry-related codes are present with notable state-leading entries (Medicaid 88185 $61.9K rank #1 of 1 and Medicare 88189 $26.6K rank #76 of 1717, 96th percentile). This mix indicates capacity for high-throughput molecular testing and specialized hematopathology/flow cytometry services beyond routine histology.
The provider has long tenure in the Medicare/Medicaid programs: NPI enumerated 2005-06-01 (~21 years ago), which aligns with the high volumes and established statewide presence observed in Medicaid and sustained national activity for select Medicare pathology codes. Longevity combined with the concentration and rank patterns supports characterization as an established pathology laboratory with dominant in-state market positions for several high-value services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
40 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… | 9,750 | $40 | $360.9K |
| 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… | 2,240 | $30 | $64.8K |
| 88307 | The 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… | 730 | $80 | $56.5K |
| 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,… | 1,340 | $40 | $49.5K |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 170 | $160 | $27.4K |
| 88189 | The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers. | 420 | $60 | $26.6K |
| 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 | $50 | $24.3K |
| 88360 | The 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… | 630 | $40 | $21.9K |
| 88374 | The lab analyst applies a single multiplex in situ hybridization probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. The lab analyst processes the slides… | 560 | $30 | $18.5K |
| 88173 | The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results. | 230 | $70 | $16.4K |
Showing 1–10 of 40
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 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.
29 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… | 16,600 | $90 | $1.5M |
| 88307 | The 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… | 3,430 | $180 | $623.4K |
| 88175 | The 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… | 16,420 | $20 | $394.1K |
| 87624 | The 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. | 9,780 | $30 | $303.1K |
| 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,… | 3,720 | $80 | $286.7K |
| U0003 | Infectious 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… | 4,190 | $70 | $272.2K |
| 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… | 1,220 | $160 | $197.1K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 4,300 | $30 | $133.2K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 4,290 | $30 | $133.1K |
| 88141 | The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by… | 4,440 | $30 | $119.7K |
Showing 1–10 of 29
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
29 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… | 3 | 30 | 3,780 | $40 | $222.6K |
| 88185 | The lab analyst performs the technical component of a flow cytometry procedure using cell surface, cytoplasmic, or nuclear markers to characterize cells and aid clinicians in diagnosing patients with… | 1 | 10 | 140 | $450 | $61.9K |
| 88175 | The 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… | 1 | 10 | 4,210 | $10 | $61.7K |
| 88307 | The 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… | 1 | 20 | 350 | $80 | $54.9K |
| 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,… | 3 | 20 | 670 | $30 | $40.4K |
| 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… | 1 | 10 | 280 | $100 | $35.6K |
| 87624 | The 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. | 1 | 10 | 2,700 | $10 | $33K |
| 88141 | The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by… | 1 | 10 | 500 | $30 | $32K |
| U0003 | Infectious 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… | 5 | 20 | 610 | $10 | $30.1K |
| 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… | 1 | 10 | 170 | $70 | $16.4K |
Showing 1–10 of 29
Other providers in the same ZIP code as Yellowstone Pathology Institute, Inc., ranked by combined Medicare and Medicaid revenue.
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