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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGloria Ma
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    Gloria Ma — Billing Profile & Reimbursement Data

    NPI 1881632107 · Elgin, IL · Anatomic Pathology & Clinical Pathology Physician

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    Gloria Ma is a anatomic pathology & clinical pathology physician provider located in Elgin, Illinois. This profile covers 27 Medicare and 155 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
    OrganizationGloria Ma
    Address934 Center St
    CityElgin
    StateIL
    ZIP60120
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedJune 2, 2006

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

    Payer SourceTotal Paid
    Medicaid$3.9M
    Medicare$87.6K

    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.

    27 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…750$30$21.7K
    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…600$20$13.2K
    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…160$70$10.1K
    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,…240$30$6.4K
    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$3.7K
    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.70$60$3.6K
    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…160$20$3.3K
    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…150$20$3.2K
    84165The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…270$10$3.2K
    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,…80$30$2.3K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305248580610$30$38.2K
    8834145450210$30$11.9K
    G04169112020$210$10.9K
    88342100490120$40$9K
    883443112040$80$8.1K
    883606026060$60$7.7K
    883074839080$70$6.1K
    883124631040$50$5.7K
    881125523080$30$4.1K
    8416533130110$10$4.1K

    Showing 1–10 of 27

    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.

    155 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    0241UN/A5,970$80$447.9K
    U0003Infectious 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…6,610$60$390.2K
    80053The 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.67,190$10$336K
    85025A 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…87,510$1$262.5K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.8,040$20$176.8K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.21,690$10$173.5K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.7,230$20$166.2K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.8,870$10$106.4K
    80048The 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…24,920$1$99.7K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.24,100$1$96.4K

    Showing 1–10 of 155

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Illinois median

    155 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…1970570$50$565.6K
    U0003Infectious 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…55350400$70$514.7K
    0240UN/A620240$120$403.4K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.452801,120$30$218.9K
    U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc,…100210680$20$206.4K
    87389The 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…152250450$40$185.7K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.56360600$30$165.1K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.58360630$30$165K
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.49160300$20$145.2K
    80050The 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…21110200$40$111.1K

    Showing 1–10 of 155

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John HamiltonILAnatomic Pathology & Clinical Pathology Physician$6.4K$11.7M
    Michael PinsILSpecialist$67.2K$5.6M
    Adaora OkonkwoILAnatomic Pathology & Clinical Pathology Physician$115.5K$2.8M
    Raphael BorokILAnatomic Pathology & Clinical Pathology Physician$153.6K$2.3M
    Oliver KimILAnatomic Pathology & Clinical Pathology Physician$98.6K$2M
    Andrea BlumsteinILAnatomic Pathology & Clinical Pathology Physician$66.1K$1.9M
    Shiwen SongILAnatomic Pathology & Clinical Pathology Physician$710.6K$500.4K
    Karl NapekoskiILAnatomic Pathology & Clinical Pathology Physician$524.3K$68K
    Rahel JohnILAnatomic Pathology & Clinical Pathology Physician$357.5K$75.6K
    Robyn MelahnILClinical Pathology/Laboratory Medicine Physician$89.3K$294.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Greater Family HealthILFederally Qualified Health Center (FQHC)$0$82M
    City Of ElginILLand Ambulance$873K$34.5M
    Vna Health CareILFederally Qualified Health Center (FQHC)$0$18.5M
    Greater Family HealthILFederally Qualified Health Center (FQHC)$0$10.8M
    Rapid Healthcare Laboratory LLCILClinical Medical Laboratory$2.4M$7.4M
    School District U46ILLocal Education Agency (LEA)$0$6.5M
    Amjad MahairiILDentist$0$4.6M
    Maurice BinnsILEmergency Medicine Physician$65.5K$522.5K
    Alex SanchezILGeriatric Medicine (Internal Medicine) Physician$361.7K$182.9K
    Heena ShyamaniILInternal Medicine Physician$313.3K$59.6K

    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. Illinois Distribution
    Gloria Ma — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Gloria Ma — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois