Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Southeastern Pathology Associates PC (NPI 1821104704)

Field	Value
Entity Type	Organization
Organization	Southeastern Pathology Associates PC
Address	203 Indigo Dr
City	Brunswick
State	GA
ZIP	31525
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	August 22, 2006

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

158 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0241U	N/A	16,370	$50	$785.8K
80053	The 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.	78,040	$1	$312.2K
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…	3,740	$80	$306.4K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	2,270	$130	$285.5K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	80,870	$1	$242.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	144,960	$1	$145K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	4,050	$30	$121.4K
87430	The lab analyst performs an assay to evaluate the patient’s sample for antigens to Streptococcus, group A, using an immunoassay method, such as EIA.	20,070	$10	$120.4K
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…	4,960	$20	$104.2K
82803	The lab analyst performs blood gas analysis to measure at least two of the listed parameters. He typically performs an arterial blood gas analysis, called an ABG, using arterial blood inserted into a…	11,840	$10	$71K

Showing 1–10 of 158

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Southeastern Pathology Associates PC — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

158 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	4	10	1,280	$270	$1.1M
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…	9	40	850	$70	$983K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	3	10	900	$40	$638.4K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	7	10	140	$20	$529.9K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	49	70	2,840	$30	$428.7K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	18	40	1,100	$20	$287.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	19	40	1,160	$20	$275.9K
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…	19	60	840	$30	$262.7K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	12	20	430	$90	$241.3K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	15	20	880	$10	$238.4K

Showing 1–10 of 158

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cecilia Rosales	MO	Dermatopathology (Pathology) Physician	$306.9K	$0
Carl Szczesniak	NC	Anatomic Pathology & Clinical Pathology Physician	$156.3K	$1.6K
Yumi Kojima	GA	Anatomic Pathology & Clinical Pathology Physician	$147.1K	$0
Ningxing Chen	GA	Anatomic Pathology & Clinical Pathology Physician	$144.2K	$0
James Hudson	AL	Anatomic Pathology & Clinical Pathology Physician	$142.1K	$0
Daniel Fajardo	GA	Anatomic Pathology & Clinical Pathology Physician	$127.2K	$0
Olga Tate	GA	Anatomic Pathology & Clinical Pathology Physician	$111.7K	$0
Jalidsa Pellicier	SC	Anatomic Pathology & Clinical Pathology Physician	$108.6K	$0
Roger Lane	GA	Anatomic Pathology & Clinical Pathology Physician	$107.6K	$0
Janet Hon	GA	Anatomic Pathology & Clinical Pathology Physician	$96.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brunswick Pain Treatment Center, LLC	GA	Ambulatory Surgical Clinic/Center	$1.8M	$0
Erick Bournigal	GA	Rheumatology Physician	$1.3M	$0
Glynn County Georgia	GA	Land Ambulance	$948.7K	$160
Antonio Moran	GA	Hematology & Oncology Physician	$537.8K	$0
Robert Holland	GA	Psychiatry Physician	$64K	$376.4K
American Health Imaging Of Georgia LLC	GA	Radiology Clinic/Center	$250.9K	$0
Christopher Bovinet	GA	Interventional Pain Medicine Physician	$186.5K	$0
Jordan Brooks	GA	Dermatology Physician	$181.3K	$0
Gerald Koss	GA	Optometrist	$143.1K	$0
Ian Buchli	GA	Optometrist	$97.4K	$0

Southeastern Pathology Associates PC — Billing Profile & Reimbursement Data

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Southeastern Pathology Associates PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References