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NPI 1801841358 · Hollister, CA · Anatomic Pathology & Clinical Pathology Physician
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Michael Mcginnis is a anatomic pathology & clinical pathology physician provider located in Hollister, California. This profile covers 22 Medicare and 3 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 | Michael Mcginnis |
| Address | 911 Sunset Dr |
| City | Hollister |
| State | CA |
| ZIP | 95023 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | May 23, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.2M |
| Medicaid | $0 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 15,850 | $90 | $1.4M |
| 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… | 10,090 | $90 | $948.2K |
| 88381 | A clinician, typically a pathologist, performs a manual microdissection of a patient’s specimen, such as a biopsy or tissue preserved from a previous case. | 2,510 | $170 | $427K |
| 88313 | The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,… | 5,080 | $70 | $345.6K |
| 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… | 5,630 | $60 | $315.1K |
| 87799 | The lab analyst performs a test to quantify infection with an infectious agent, not otherwise specified in another code, using a nucleic acid probe technique. Use this code if you know the laboratory… | 7,050 | $40 | $296.1K |
| G0452 | Molecular pathology procedure; physician interpretation and report | 4,540 | $40 | $172.4K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 910 | $120 | $106.2K |
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 1,350 | $30 | $46K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 790 | $50 | $41K |
Showing 1–10 of 22
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
22 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 87798 | 55 | 110 | 1,340 | $30 | $338.2K |
| 88381 | 2 | 20 | 80 | $170 | $171.5K |
| 87799 | 2 | 20 | 420 | $40 | $72.5K |
| 88305 | 63 | 1,580 | 450 | $40 | $51.3K |
| 87640 | 45 | 70 | 270 | $30 | $35.7K |
| 87653 | 45 | 70 | 220 | $30 | $27.9K |
| 88341 | 690 | 920 | 260 | $40 | $15.7K |
| 88312 | 1 | 730 | 70 | $70 | $14.3K |
| G0452 | 1 | 30 | 100 | $40 | $13.7K |
| 99213 | 1 | 34,660 | 80 | $70 | $13.2K |
Showing 1–10 of 22
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87811 | The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by… | 810 | $0 | $0 |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 40 | $0 | $0 |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 1,500 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 5,670 | 14,520 | 760 | $10 | $122.8K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 4,214 | 5,590 | 180 | $50 | $62.4K |
| 87811 | The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by… | 202 | 620 | 320 | $20 | $50.3K |
Other providers in the same ZIP code as Michael Mcginnis, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Hazel Hawkins Memorial Hospital | CA | General Acute Care Hospital | $0 | $23.8M |
| San Benito County | CA | Clinic/Center | $0 | $23.4M |
| Marie Claudette Grageda | CA | Family Medicine Physician | $1.2M | $113.5K |
| Martin Bress | CA | Cardiovascular Disease Physician | $259.5K | $0 |
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