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    OpenPayerNPI Medicare & MedicaidMatthew Macatol
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    Matthew Macatol — Billing Profile & Reimbursement Data

    NPI 1912199720 · Marietta, OH · Anatomic Pathology & Clinical Pathology Physician

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    Matthew Macatol is a anatomic pathology & clinical pathology physician provider located in Marietta, Ohio. This profile covers 25 Medicare and 2 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
    OrganizationMatthew Macatol
    Address401 Matthew St
    CityMarietta
    StateOH
    ZIP45750
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedAugust 15, 2007

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

    Payer SourceTotal Paid
    Medicare$348.7K
    Medicaid$470

    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.

    25 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…5,620$30$151.7K
    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…2,410$20$50.7K
    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,…1,350$30$35K
    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…460$60$28.3K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method90$130$12.1K
    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…360$30$11.5K
    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.170$50$8.9K
    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…440$20$8.8K
    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…70$110$7.2K
    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,…200$30$5.9K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830512560470$40$39.2K
    883414440200$30$8K
    88189698060$60$5.7K
    883424460100$40$5.6K
    88307137080$60$5.3K
    883121423040$50$5.3K
    G0416612020$160$5.2K
    883216310020$70$3.8K
    88377153020$70$3.6K
    88173521040$60$2.9K

    Showing 1–10 of 25

    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.

    2 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…1,500$0$0
    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,…280$0$0

    Medicaid: Competitive Analysis & Benchmarks

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1543401,220$30$186.7K
    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,…106170600$20$28.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Navid MoradshahiCADiagnostic Radiology Physician$1.2M$0
    Mahyar TahbazOHNephrology Physician$335K$540.4K
    Sathyanarayan ReddyWVCardiovascular Disease Physician$521.3K$0
    Barrett LoudenWVDermatology Physician$259.2K$0
    Karl FanTXDiagnostic Radiology Physician$254.3K$0
    James MinILDiagnostic Radiology Physician$232.5K$0
    Philip ZambosKYDiagnostic Radiology Physician$98.3K$64.5K
    John MasonWVCardiovascular Disease Physician$149.2K$0
    Charles MooreWVOphthalmology Physician$145.3K$0
    Wissam GharibWVInterventional Cardiology Physician$144.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marietta Memorial HospitalOHGeneral Acute Care Hospital$0$102.2M
    Quality Of Life Home Care, LtdOHHome Health Agency$0$15.9M
    Marietta Home Health And Hospice, L.L.C.OHCommunity Based Hospice Care Agency$0$7.6M
    L & P Services, Inc.OHPublic Health or Welfare Agency$0$7.2M
    Marietta Health Care Physicians, IncOHEmergency Medicine Physician$0$6.9M
    Vivek AbhyankarOHHematology & Oncology Physician$1.9M$0
    Frederic HumphreyOHInternal Medicine Physician$71.1K$978.4K
    City Of MariettaOHAmbulance$257.6K$486.6K
    David MontgomeryOHInternal Medicine Physician$218K$0
    Michail VasilakisOHNeurological Surgery Physician$192.8K$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. Ohio Distribution
    Matthew Macatol — 14 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio
    Medicaid Revenue by Year vs. Ohio Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Matthew Macatol — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio