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    OpenPayerNPI Medicare & MedicaidPathology Consultants, PC
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    Pathology Consultants, PC — Billing Profile & Reimbursement Data

    NPI 1801834361 · Springfield, OR · Anatomic Pathology & Clinical Pathology Physician

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    Pathology Consultants, PC is a anatomic pathology & clinical pathology physician provider located in Springfield, Oregon. This profile covers 0 Medicare and 54 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 TypeOrganization
    OrganizationPathology Consultants, PC
    Address123 International Way
    CitySpringfield
    StateOR
    ZIP97477
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJune 4, 2006

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

    Payer SourceTotal Paid
    Medicaid$5.5M
    Medicare$0

    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.

    54 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…57,350$50$3M
    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…4,970$80$407.1K
    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…20,120$20$382.4K
    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.15,060$20$361.4K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.4,340$50$199.5K
    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,…4,960$40$198.3K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.4,420$40$185.7K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.6,750$30$168.8K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.6,730$30$168.2K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.5,270$20$121.1K

    Showing 1–10 of 54

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Oregon median

    54 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…190530$50$281.6K
    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…3202,750$20$205.7K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.870350$40$189.7K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.870350$40$189.3K
    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.430770$30$149.5K
    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.861405,430$10$147.7K
    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…120340$110$135.2K
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.43060$40$104.8K
    88142The 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…12201,110$30$97.8K
    87481The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.220270$40$88.8K

    Showing 1–10 of 54

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Douglas HansenWIAnatomic Pathology & Clinical Pathology Physician$1.4M$2.9K
    Joe McfarlaneORAnatomic Pathology & Clinical Pathology Physician$200.2K$0
    Lauren HammockORAnatomic Pathology & Clinical Pathology Physician$169.9K$0
    Misty PayneORCytopathology Physician$138.7K$0
    Denis MccarthyORAnatomic Pathology & Clinical Pathology Physician$125.6K$0
    Deven SmithORAnatomic Pathology & Clinical Pathology Physician$124.5K$0
    Claire MurphyORAnatomic Pathology & Clinical Pathology Physician$120.1K$0
    Lyle LawnickiWIAnatomic Pathology & Clinical Pathology Physician$106.6K$0
    Colin NewbillORAnatomic Pathology & Clinical Pathology Physician$104.6K$0
    Lamont WettsteinORAnatomic Pathology & Clinical Pathology Physician$68.7K$27K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mckenzie-willamette Regional Medical Center Associates LLCORGeneral Acute Care Hospital$0$44.6M
    PeacehealthORGeneral Acute Care Hospital$0$30.7M
    Lane County OregonORFederally Qualified Health Center (FQHC)$0$20.6M
    Springfield Treatment CenterORMethadone Clinic$0$20.5M
    Mental Health For Children, IncORMental Health Counselor$0$12.7M
    G Street Integrated HealthORClinic/Center$0$9.3M
    Radiology Associates PCORDiagnostic Radiology Physician$0$7.8M
    Oregon Endoscopy Center, LLCORAmbulatory Surgical Clinic/Center$919.2K$5.6M
    PeacehealthORHospitalist Physician$0$5.5M
    Womens Care, PCORObstetrics & Gynecology Physician$0$5.3M

    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.

    Medicaid Revenue by Year vs. Oregon Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oregon Distribution
    Pathology Consultants, PC — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon