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    OpenPayerNPI Medicare & MedicaidDorothy Blackmun
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    Dorothy Blackmun — Billing Profile & Reimbursement Data

    NPI 1871565101 · Woodland Park, NJ · Anatomic Pathology & Clinical Pathology Physician

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    Dorothy Blackmun is a anatomic pathology & clinical pathology physician provider located in Woodland Park, New Jersey. This profile covers 15 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationDorothy Blackmun
    Address1225 Mcbride Ave
    CityWoodland Park
    StateNJ
    ZIP07424
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedFebruary 2, 2006

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

    Payer SourceTotal Paid
    Medicare$210.1K
    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.

    15 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…1,140$60$70.4K
    G0145Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under…1,900$30$47.6K
    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$60$17.8K
    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…170$100$17.4K
    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,…210$80$16.1K
    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…410$20$8.2K
    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.230$30$7.5K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method20$320$6.8K
    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…200$30$5.1K
    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…40$110$4.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G014541011,530$30$288.2K
    8830582290720$40$71.8K
    8762473040$30$51.8K
    88175810540$30$40.3K
    8831371180110$50$31.2K
    883126217090$80$26.4K
    G0416407020$230$20.6K
    88342253260170$50$18.2K
    88341221220300$40$15.9K
    881122313090$40$13.1K

    Showing 1–10 of 15

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99080The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.20$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Jersey median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99080The provider completes forms or reports related to the patient's status or situation in addition to standard documentation.3040150$1$20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City Medical Of Upper East Side, PLLCNYUrgent Care Clinic/Center$0$641.6M
    Bader PedemonteNJHematology (Pathology) Physician$4.2M$1.5K
    Edward RutkovskyNYInternal Medicine Physician$2.1M$10.3K
    Matthew WeisslerNYHematology & Oncology Physician$1.7M$90
    Michael SchekallMNDiagnostic Radiology Physician$1.7M$710
    John MccormickNJDiagnostic Radiology Physician$1.5M$0
    Nimish DhariaNYCardiovascular Disease Physician$1.4M$37.4K
    Douglas BrylkaNYRadiology Clinic/Center$1.3M$0
    Jonathan BreslauMNDiagnostic Radiology Physician$1.3M$0
    Svetlana KrasnokutskyNYRheumatology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Golden Years Adult Day Care CenterNJAdult Day Care Clinic/Center$0$14.6M
    Access Care Physicians Of Nj LLCNJAmbulatory Surgical Clinic/Center$1.6M$484.2K
    Rescueheart Medical ServicesNJLand Ambulance$700.7K$3.1K
    Jai ParekhNJOphthalmology Physician$464.6K$0
    Michael MaineroNJGastroenterology Physician$431.6K$0
    Elsie KohNJVascular & Interventional Radiology Physician$376.8K$570
    Sylvia CosciaNJInternal Medicine Physician$349.8K$230
    Amanullah VazirNJPulmonary Disease Physician$317.7K$0
    Adam KuehnNJAnatomic Pathology & Clinical Pathology Physician$213.5K$0
    Michael SchwarzNJSpecialist$208.3K$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. New Jersey Distribution
    Dorothy Blackmun — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Dorothy Blackmun — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey