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    OpenPayerNPI Medicare & MedicaidMilton Plata
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    Milton Plata — Billing Profile & Reimbursement Data

    NPI 1871639419 · Charleston, WV · Anatomic Pathology & Clinical Pathology Physician

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    Milton Plata is a anatomic pathology & clinical pathology physician provider located in Charleston, West Virginia. This profile covers 21 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
    OrganizationMilton Plata
    Address3200 Maccorkle Avenue Se
    CityCharleston
    StateWV
    ZIP25304
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJanuary 30, 2007

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

    Payer SourceTotal Paid
    Medicare$57K
    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.

    21 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…860$30$22.5K
    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…120$60$7.4K
    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,…230$30$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…220$20$4.6K
    88363A pathologist performs a procedure to examine and select archived, or previously diagnosed, tissue for molecular analysis.160$20$2.6K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.50$50$2.3K
    88309The physician, typically a pathologist, performs a level VI examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…20$110$2.2K
    88361The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. The lab analyst processes the slides using computer assisted…40$30$1.4K
    88333Pathology consultation during surgery provides necessary and precise information pertaining to diagnosis and prognosis that aids a surgeon in deciding whether to proceed further during surgery.…20$50$1.1K
    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.10$70$1K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    883052780670$30$23.9K
    883412460200$20$5.4K
    8830795080$60$4.7K
    800535970100$10$4.3K
    80061606060$10$4.3K
    88342760110$30$3.8K
    850256770110$10$3.6K
    8817393030$60$3K
    88309122020$110$2.7K
    88112123060$30$2.7K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Hospital Development CoWVCritical Access Hospital$0$14.6M
    Mark LeFLDiagnostic Radiology Physician$10.7M$0
    Hospital Development CoWVRural Health Clinic/Center$0$10.1M
    Montgomery General Hospital, IncWVCritical Access Hospital$0$9.4M
    Hospital Development CoWVRural Health Clinic/Center$0$7.5M
    Navid MoradshahiCADiagnostic Radiology Physician$1.2M$0
    Hospital Development CoWVRural Health Clinic/Center$0$1.1M
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Walter OsiasCADiagnostic Radiology Physician$759.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Healthteam Critical Care Transport LLCWVLand Ambulance$2.5M$19.8M
    Cabin Creek Health Center, Inc.WVFederally Qualified Health Center (FQHC)$0$8.2M
    Holistic, IncWVFamily Medicine Physician$0$8M
    Valley Health Systems, IncWVFederally Qualified Health Center (FQHC)$0$7.1M
    Imad ShammaaWVOrthodontics and Dentofacial Orthopedics Dentistry$0$5.2M
    Summit Bhc West Virginia LLCWVSubstance Use Disorder Rehabilitation Hospital Unit$0$5.1M
    General Anesthesia Services IncWVAnesthesiology Physician$0$4.3M
    Neurology & Headache Clinic PLLCWVNeurology Physician$0$3.8M
    Bioscrip Infusion Services, LLCWVHome Infusion Therapy Pharmacy$0$3.3M
    Don E. Skaff, Dds, Inc.WVPediatric Dentistry$0$2M

    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. West Virginia Distribution
    Milton Plata — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia