Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Connecticut (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Stamford Pathology Group PC (NPI 1902852445)

Stamford Pathology Group PC is a anatomic pathology & clinical pathology physician provider located in Stamford, Connecticut. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Stamford Pathology Group PC
Address	1 Hospital Plz
City	Stamford
State	CT
ZIP	06902
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

15 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…	20,930	$30	$690.8K
88307	The 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…	6,790	$50	$305.6K
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,…	6,040	$30	$163.1K
88141	The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by…	4,840	$10	$58K
88112	Selective 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…	1,070	$20	$25.8K
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…	470	$30	$13.3K
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…	410	$30	$12.4K
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…	2,040	$10	$12.2K
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,…	1,210	$10	$9.7K
86255	The lab analyst performs an immunoassay test to screen a patient’s blood, typically serum, for an antibody to a noninfectious agent using a fluorescent method. As a screening test, results show only…	650	$10	$3.9K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Stamford Pathology Group PC — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

15 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…	14	90	3,980	$40	$424.8K
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,…	20	40	1,210	$30	$99.6K
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,…	11	50	1,720	$30	$88.3K
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…	23	50	470	$40	$86.6K
85025	A 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…	81	100	2,240	$1	$67.1K
88307	The 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…	4	40	780	$30	$64.9K
88141	The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by…	4	20	250	$10	$30.1K
88112	Selective 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…	12	30	440	$20	$29.6K
80048	The 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…	48	50	5,890	$1	$24.8K
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…	20	40	500	$20	$23.7K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Ilasi	NY	Anatomic Pathology & Clinical Pathology Physician	$277.2K	$0
Bo Xu	CT	Anatomic Pathology Physician	$89.6K	$0
Robert Babkowski	CT	Anatomic Pathology & Clinical Pathology Physician	$80.1K	$0
Raymond Baer	CT	Anatomic Pathology & Clinical Pathology Physician	$77.7K	$0
George Kleinman	NY	Neuropathology Physician	$45.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stamford Hospital	CT	General Acute Care Hospital	$0	$139.9M
Stamford Emergency Medical Services, Inc.	CT	Land Ambulance	$1.5M	$6.3M
Mvc Ct	CT	Surgery Physician	$0	$2.7M
Dva Renal Healthcare Inc	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.6M
Yoo Jin Shin	CT	Pediatric Dentistry	$0	$1.7M
Rainbow Pediatrics, LLC	CT	Pediatrics Physician	$0	$1.6M
Emergency Medicine Physicians Of Fairfield County, LLC	CT	Emergency Medicine Physician	$0	$1.6M
South End Dental Center PC	CT	General Practice Dentistry	$0	$1.5M
Child Guidance Center Of Southern Connecticut, Inc.	CT	Community/Behavioral Health Agency	$0	$1.5M
Andrews Adade Md, PC	CT	Pediatric Adolescent Medicine Physician	$0	$1.5M

Stamford Pathology Group PC — Billing Profile & Reimbursement Data

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Stamford Pathology Group PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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