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NPI 1881666741 · Cincinnati, OH · Clinical Medical Laboratory
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Ameripath Cincinnati Inc is a clinical medical laboratory provider located in Cincinnati, Ohio. This profile covers 12 Medicare and 4 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Ameripath Cincinnati Inc |
| Address | 6700 Steger Dr Ste A |
| City | Cincinnati |
| State | OH |
| ZIP | 45237 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | February 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.2M |
| Medicaid | $602.7K |
AMERIPATH CINCINNATI INC is a high-volume clinical surgical pathology lab: Medicare billing is $3.2M and Medicaid billing is $602.7K, and the service mix is dominated by surgical pathology and related diagnostic staining codes (notably 88305, 88312, 88342 and related immunohistochemistry codes). The presence of large volumes for 88305 (surgical pathology level IV) alongside multiple IHC and special-stain codes indicates the operation performs case intake, gross and microscopic examination, and downstream ancillary testing consistent with a centralized pathology processing center.
Revenue concentration is very high for both payers. The top 3 Medicare codes account for 93.1% of the provider's Medicare revenue and the top 3 Medicaid codes account for 99.5% of the provider's Medicaid revenue, with 88305 alone representing $2.8M (86.3% of Medicare revenue) and $513.4K (84.8% of Medicaid revenue), signaling heavy dependence on a single surgical pathology code across both payers.
88305 is an outsized driver of volume and revenue. On Medicare, 88305 is reported as $2.8M in revenue from 59.4K claims at $47 avg paid/claim and ranks #12 of 14580 providers nationally (100th percentile; extreme outlier), while on Medicaid 88305 is 24.4K claims, $21 avg paid/claim and $513.4K revenue and ranks #18 of 336 in-state (95th percentile). This combination of national outlier status on Medicare and high in-state rank on Medicaid identifies the practice as a dominant processor of level IV surgical pathology cases.
The provider shows national-level leadership on several pathology codes beyond 88305. For Medicare, 88312 generated $138.8K (4.3% of Medicare revenue) and ranks #106 of 6966 providers nationally (98th percentile; notably above typical national volume), and 88342 generated $81.9K (2.5% of Medicare revenue) and ranks #222 of 11370 providers nationally (98th percentile; notably above typical national volume). These ranks indicate the lab not only processes large case counts but also provides a meaningful volume of special stains and IHC services relative to national peers.
There are additional national outlier signals on other surgical pathology codes. Medicare 88304 produced $51K (1.6% of Medicare revenue) and ranks #13 of 8796 providers nationally (100th percentile; extreme outlier), which, together with the 88305 dominance, points to broad capacity for both level III and level IV surgical pathology workloads at scale.
State-competitive posture on Medicaid is strong but more concentrated. Top Medicaid codes (88305, 88312, 88304) together make up 99.5% of Medicaid revenue, and ranks such as #7 of 58 for 88312 (89th percentile) and #24 of 176 for 88304 (87th percentile) indicate the provider is a leading in-state supplier of surgical pathology and special-stain services, though its Medicaid volume profiles are less extreme than its national Medicare outlier status.
The service mix suggests a pathology lab workflow that begins with high-volume accessioning and level IV surgical pathology interpretation (88305) and extends into technical staining and interpretation services (88312, 88342, 88350, 88341). Ancillary code presence (IHC and ISH variants such as 88350, 88341, 88346, 88365, 88364) reflects capability to perform multiple downstream diagnostic assays, but these codes represent far smaller shares of revenue compared with 88305.
AMERIPATH CINCINNATI INC has a long-enumerated presence in the NPI file (NPI enumerated: 2006-02-06, ~20 years ago), which, combined with extreme national ranks on key codes and concentrated revenue streams, is consistent with an established laboratory with specialized high-throughput surgical pathology operations rather than a small or recently formed practice.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 59,440 | $50 | $2.8M |
| 88312 | The 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… | 1,800 | $80 | $138.8K |
| 88342 | The 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,… | 1,210 | $70 | $81.9K |
| 88350 | The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample. Code +88350 describes… | 840 | $80 | $69.4K |
| 88341 | The 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… | 1,060 | $60 | $64.4K |
| 88304 | The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 1,890 | $30 | $51K |
| 88346 | The analyst performs an immunofluorescent study using a single antibody stain procedure to detect autoimmune disease or an infectious organism in a tissue or cellular sample. | 210 | $110 | $22.1K |
| 88313 | The 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,… | 160 | $50 | $8.4K |
| 88365 | The lab analyst applies an initial in situ hybridization single probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a… | 20 | $130 | $2.8K |
| 88321 | A 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. | 40 | $60 | $2.4K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 24,450 | $20 | $513.4K |
| 88312 | The 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… | 2,160 | $20 | $51.8K |
| 88304 | The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 2,330 | $20 | $37.3K |
| 88342 | The 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,… | 350 | $10 | $3.2K |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 18 | 340 | 1,220 | $30 | $186.7K |
| 88312 | The 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… | 7 | 60 | 140 | $50 | $37.4K |
| 88342 | The 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,… | 97 | 170 | 600 | $20 | $28.4K |
| 88304 | The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally… | 24 | 180 | 390 | $10 | $8.9K |
Other providers in the same ZIP code as Ameripath Cincinnati Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Labone Of Ohio Inc | OH | Clinical Medical Laboratory | $1.7M | $167.2M |
| St. Joseph Orphanage | OH | Community/Behavioral Health Agency | $0 | $20.1M |
| Sjo Kids Inc | OH | Community/Behavioral Health Agency | $0 | $15.6M |
| St. Aloysius Orphanage | OH | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $13M |
| See More Smiles - Geier Dmd And Amin Dds LLC | OH | Dental Clinic/Center | $0 | $10.9M |
| Care Medical, Inc. | OH | Durable Medical Equipment & Medical Supplies | $0 | $8.4M |
| Ameripath Kentucky Inc | OH | Clinical Medical Laboratory | $118.9K | $22.6K |
| Mary Baker | OH | Family Nurse Practitioner | $90.6K | $0 |
| James Esmail | OH | Clinical Psychologist | $11K | $0 |
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