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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJerome O'connell
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    Jerome O'connell — Billing Profile & Reimbursement Data

    NPI 1861516718 · Woodbridge, VA · Clinical Pathology/Laboratory Medicine Physician

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    Jerome O'connell is a clinical pathology/laboratory medicine physician provider located in Woodbridge, Virginia. This profile covers 16 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
    OrganizationJerome O'connell
    Address2300 Opitz Blvd
    CityWoodbridge
    StateVA
    ZIP22191
    TaxonomyClinical Pathology/Laboratory Medicine Physician
    NPI EnumeratedMarch 18, 2007

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

    Payer SourceTotal Paid
    Medicare$125.7K
    Medicaid$0

    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.

    16 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…1,370$30$46.6K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method210$150$31.2K
    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,…460$30$13.9K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…320$20$7.4K
    88120The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for manual morphometric analysis, looking at the number and…110$50$5.2K
    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…80$60$5.1K
    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,…300$10$3.6K
    88360The 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…110$30$3.6K
    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…140$20$3.1K
    88344The lab analyst applies a single multiplex antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…50$30$1.8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830569250760$40$55.8K
    88120510150$350$51.2K
    88341148200290$30$17.1K
    G041656030$210$13.3K
    8834223210160$50$13K
    883129312060$50$9.7K
    88307119170120$70$9.6K
    8811210110100$30$5.3K
    883132714060$20$5.2K
    88344285060$60$4.2K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Jerome O'connell, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Privia Medical Group, LLCVAInternal Medicine Physician$0$81.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Loudoun Medical Group, PCVAInternal Medicine Physician$0$12.4M
    Hooman SaberiniaVAInternal Medicine Physician$9.6M$0
    Alex PavidaphaVAVascular & Interventional Radiology Physician$3.5M$0
    Ari IsaacsonNCVascular & Interventional Radiology Physician$2.8M$0
    Rachel PiechowiakVAVascular & Interventional Radiology Physician$2.4M$0
    Carl GableMDAnatomic Pathology & Clinical Pathology Physician$1.6M$0
    Manan MehtaVAHematology & Oncology Physician$1.5M$0
    Enrico GiangerusoVAAnatomic Pathology & Clinical Pathology Physician$1.4M$0

    Nearby Providers

    Other providers in the same ZIP code as Jerome O'connell, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Potomac Hospital Corporation Of Prince WilliamVAGeneral Acute Care Hospital$0$59.2M
    America's Best Home Healthcare LLC.VAHome Health Agency$0$15.8M
    Blessed Support Professionals, IncVAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$14.9M
    Whipple Tree Emergency Physicians LLCVAEmergency Medicine Physician$0$13.2M
    Advanced Home Care Connect IncVAHome Health Agency$0$12.4M
    Provident Arc LLCVAIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$11.2M
    Century Pediatrics Inc.VAPediatrics Physician$0$10.9M
    Divine Senior Home Care LLCVAHome Health Agency$0$9M
    Quality Health Services, LLCVAHome Health Agency$0$7.7M
    Abba Home Care LLCVAHome Health Agency$0$7.6M

    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. Virginia Distribution
    Jerome O'connell — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia