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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDipti Anand
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    Dipti Anand — Billing Profile & Reimbursement Data

    NPI 1811041049 · Smyrna, GA · Dermatopathology (Pathology) Physician

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    Dipti Anand is a dermatopathology (pathology) physician provider located in Smyrna, Georgia. This profile covers 10 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
    OrganizationDipti Anand
    Address2000 Lake Park Dr Se
    CitySmyrna
    StateGA
    ZIP30080
    TaxonomyDermatopathology (Pathology) Physician
    NPI EnumeratedJanuary 23, 2007

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

    Payer SourceTotal Paid
    Medicare$2M
    Medicaid$0

    Key Findings

    DIPTI ANAND is a dermatopathology (pathology) physician based in SMYRNA, GA, with an NPI enumerated 2007-01-23 (~19 years ago). Lifetime Medicare revenue on file is $2M and there is no Medicaid billing on file, so this profile reflects an effectively single-payer (Medicare) billing footprint rather than a dual-payer mix.

    The provider’s Medicare revenue is highly concentrated: the precomputed top three Medicare codes account for 93.4% of total Medicare revenue, led by 88305 at $1.5M (73.4% of Medicare revenue), followed by 88342 at $225.4K (11.0%) and 88341 at $183.9K (9.0%). This concentration indicates a narrow service mix where a few pathology procedures drive nearly all billings.

    The dominant code 88305 (29.5K claims, $51 avg paid/claim, $1.5M) is a level IV surgical pathology examination; its prominence signals that the practice primarily handles high volumes of surgical pathology case interpretations rather than broad outpatient procedural care. The substantial support from 88342 (3.2K claims, $70 avg paid/claim, $225.4K) and 88341 (3K claims, $61 avg paid/claim, $183.9K) shows significant use of immunohistochemistry testing and slide interpretation as routine components of the workflow.

    On competitive standing for Medicare services, this provider is a national high-volume outlier for the core pathology codes: 88305 ranks #41 of 14580 providers nationally (100th percentile; extreme outlier), 88342 ranks #56 of 11370 (100th percentile; extreme outlier), and 88341 ranks #62 of 10274 (99th percentile; extreme outlier). Those rankings indicate the provider operates at volumes far above typical national peers for these specific pathology services, making it a major national supplier of these billed services.

    Ancillary technical and specialized testing codes appear at much lower relative volumes but still reflect a full-service pathology operation: for example, 88312 accounts for $109.6K (5.4% of Medicare revenue) and ranks #146 of 6966 (98th percentile) while in situ hybridization codes such as 88365 ($3.1K) and 88364 ($2K) are present at modest volumes. This pattern—very high-volume core surgical pathology plus lower-volume specialized stains and ISH—suggests lab capacity for both routine case workups and selective advanced testing.

    Payer and contracting implications: because Medicaid billing is absent and Medicare accounts for $2M in lifetime revenue, the provider should be treated operationally as a Medicare-focused pathology supplier when evaluating network value or utilization. Payers seeking Medicaid-network expansion in-state will find no direct Medicaid activity here, while Medicare-focused agreements or utilization oversight should prioritize the high-volume codes 88305, 88342, and 88341.

    The provider’s long tenure (NPI enumerated 2007-01-23, ~19 years) combined with consistently extreme outlier volumes for core pathology codes suggests established referral relationships or centralized specimen-processing workflows. That longevity plus volume concentration implies stability in the current business model and potentially entrenched lab partnerships or supply chain arrangements.

    The label 'extreme outlier' attached to the top codes is operationally meaningful: volumes for 88305, 88342, and 88341 are far above typical national providers, which should flag this entity for capacity planning, vendor negotiations, and focused utilization reviews rather than routine low-volume contracting approaches. Stakeholders should prioritize monitoring those high-impact codes because they represent the vast majority of billed Medicare revenue for this provider.

    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.

    10 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…29,450$50$1.5M
    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,…3,220$70$225.4K
    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…3,020$60$183.9K
    88312The 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…1,340$80$109.6K
    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…180$30$6K
    88323A qualified provider, typically a pathologist, provides consultation and a report on referred material, such as a tissue block, and prepares and stains slides. A unit of service is the surgical case…70$80$5.3K
    88313The 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,…70$60$4.4K
    88321A qualified provider, typically a pathologist, provides consultation and a report on slides prepared elsewhere. A unit of service is the surgical case regardless of the number of slides received.70$60$4.1K
    88365The lab analyst applies an initial in situ hybridization single probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a…20$130$3.1K
    88364The lab analyst applies an additional in situ hybridization single probe stain on a slide or slides prepared from the same patient specimen as the initial probe stain, such as tumor tissue. Then a…20$100$2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    883053340650$40$73.6K
    883121324070$70$34K
    883412230220$30$11.4K
    883421260120$50$10.5K
    8831310221070$40$10.2K
    8832331030$90$7.5K
    883042122060$20$1.8K
    8832113020$70$1.7K
    8836531020$50$1.6K
    8836441020$40$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cockerell Dermatopathology PATXDermatopathology (Pathology) Physician$3.8M$119K
    Kevin ThomasGADermatopathology (Pathology) Physician$1.6M$0
    Christopher EricksonCAAnatomic Pathology & Clinical Pathology Physician$1.3M$4.7K
    Antoanella CalameCADermatopathology Physician$848.4K$970
    Charay Jennings-doverGADermatopathology (Pathology) Physician$829.6K$0
    Andrea VolkGADermatopathology (Pathology) Physician$559K$0
    David GuillenGADermatopathology (Pathology) Physician$474.4K$0
    Abha SoniGADermatopathology Physician$355K$0
    Clay CockerellTXDermatopathology Physician$62.5K$6.1K

    Nearby Providers

    Other providers in the same ZIP code as Dipti Anand, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rv Behavioral, LLCGAPsychiatric Hospital$0$3.1M
    Georgia Urology, PAGAAmbulatory Surgical Clinic/Center$918.7K$0
    Wael MilyaniGAAnatomic Pathology & Clinical Pathology Physician$769.7K$12.2K
    Chestatee Pathology Associates, PCGAAnatomic Pathology & Clinical Pathology Physician$0$491.1K
    Georgia Imaging Associates PCGADiagnostic Radiology Physician$0$318.6K
    Kaushang GandhiGACardiovascular Disease Physician$116.2K$0
    Ashford McallisterGADiagnostic Radiology Physician$86.6K$0
    Subodh LalGAGastroenterology Physician$82.5K$0
    Ashish KapilaGAPodiatrist$72.7K$0
    Jorge RodriguezGASports Medicine (Family Medicine) Physician$59.5K$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. Georgia Distribution
    Dipti Anand — 5 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia