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NPI 1912914144 · Dayton, OH · Clinical Medical Laboratory
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Dermatopathology Laboratory Of Central States is a clinical medical laboratory provider located in Dayton, Ohio. This profile covers 10 Medicare and 8 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 | Dermatopathology Laboratory Of Central States |
| Address | 7835 Paragon Rd |
| City | Dayton |
| State | OH |
| ZIP | 45459 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | August 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.1M |
| Medicaid | $1.8M |
The provider’s code mix is squarely surgical-pathology and ancillary immunostain work: 88305 dominates both Medicare ($2.2M revenue) and Medicaid ($1.4M revenue), while immunohistochemistry/immunofluorescence codes such as 88341 and 88342 and special-stain code 88312 also appear among top billings. These codes and descriptions indicate an operation focused on slide interpretation for surgical specimens and routine use of additional stains and antibody-based tests, consistent with a dermatopathology or high-volume surgical pathology service line.
Revenue is highly concentrated in a very small set of services for both payers: the top 3 Medicare codes by revenue account for 88.2% of Medicare revenue, and the top 3 Medicaid codes by revenue account for 92.7% of Medicaid revenue. In particular, 88305 alone represents 73.5% of this provider’s Medicare revenue and 79.1% of its Medicaid revenue, making the business economically dependent on a single primary service.
On payer mix the practice reports $3.1M in lifetime Medicare revenue versus $1.8M in lifetime Medicaid revenue, so Medicare is the larger single payer by scale on file. This split indicates the provider serves both populations but is materially weighted toward Medicare-funded activity.
Nationally the provider is an outlier on core Medicare codes: 88305 ranks #15 of 14580 providers (100th percentile; extreme outlier), 88341 ranks #34 of 10274 (100th percentile; extreme outlier), and 88342 ranks #81 of 11370 (99th percentile; extreme outlier). Those rankings characterize the provider as a major national volume leader for its principal pathology and immunostain codes rather than a modest participant.
Within-state Medicaid standing is also strong for key services: 88305 ranks #9 of 336 in-state (98th percentile; notably above typical state volume) and 88312 ranks #4 of 58 in-state (95th percentile; notably above typical state volume). Other Medicaid codes such as 88341 and 88342 are present at typical levels in-state or mid-percentiles, so dominance is concentrated in a few high-volume procedure lines.
The provider has an established enrollment history (NPI enumerated 2006-08-01, ~20 years ago), indicating longevity that is consistent with the sustained high volumes reported for pathology codes. Long tenure coupled with concentrated code volumes suggests an operational model that has been stable over many years.
The repeated “extreme outlier” and “notably above typical” labels on several top codes imply this entity handles exceptionally high case volumes relative to peers, which operationally aligns with a centralized slide-reading or specialty dermatopathology practice receiving many referred specimens. Such volume patterns are meaningful for network planning, lab partnerships, and capacity assessments.
Because a very large share of both Medicare and Medicaid revenue is tied to a handful of codes—with 88305 driving the majority of revenue—payer contracting, utilization management, or policy changes affecting surgical pathology and immunostain reimbursement could materially affect this provider’s revenue profile. Payers and analysts should therefore consider the provider’s code concentration when modeling spend, negotiating rates, or evaluating referral-network reliance.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 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… | 54,860 | $40 | $2.2M |
| 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… | 4,350 | $60 | $274.2K |
| 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,… | 2,420 | $70 | $174.2K |
| 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… | 1,860 | $80 | $143.1K |
| 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… | 920 | $90 | $78.3K |
| 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. | 750 | $70 | $53.6K |
| 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 | $20 | $45.4K |
| 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. | 240 | $110 | $25.4K |
| 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,… | 230 | $60 | $13.1K |
| 88323 | A qualified provider, typically a pathologist, provides consultation and a report on referred material, such as a tissue block, and prepares and stains slides. A unit of service is the surgical case… | 40 | $80 | $3.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 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.
8 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… | 39,910 | $40 | $1.4M |
| 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… | 3,880 | $40 | $166.8K |
| 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… | 1,040 | $80 | $79K |
| 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… | 3,580 | $20 | $68K |
| 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,… | 1,550 | $40 | $61.9K |
| 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… | 20 | $140 | $2.2K |
| 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,… | 30 | $30 | $680 |
| 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. | 20 | $40 | $660 |
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
8 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… | 9 | 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… | 4 | 60 | 140 | $50 | $37.4K |
| 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… | 14 | 80 | 120 | $60 | $29.5K |
| 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,… | 45 | 170 | 600 | $20 | $28.4K |
| 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. | 7 | 10 | 70 | $50 | $20.7K |
| 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,… | 45 | 60 | 190 | $30 | $19.8K |
| 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… | 5 | 10 | 50 | $40 | $13K |
| 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… | 16 | 180 | 390 | $10 | $8.9K |
Other providers in the same ZIP code as Dermatopathology Laboratory Of Central States, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Tri Star Scientific Inc. | OH | PACE Provider Organization | $0 | $17.6M |
| Crn Healthcare, Inc. | OH | Community/Behavioral Health Agency | $0 | $15M |
| Compassus Op Of Ohio LLC | OH | Community Based Hospice Care Agency | $0 | $8.2M |
| Six Roses Home Health Care | OH | Home Health Clinical Nurse Specialist | $0 | $7.5M |
| Surgery Center At Corporate Way LLC | OH | Ambulatory Surgical Clinic/Center | $1.7M | $326.8K |
| Digestive Endoscopy Center LLC | OH | Ambulatory Surgical Clinic/Center | $623.5K | $872.5K |
| David Key | OH | Urology Physician | $520.8K | $0 |
| Timothy Schoonover | OH | Neurology Physician | $356.8K | $0 |
| Amol Soin | OH | Interventional Pain Medicine Physician | $352.6K | $0 |
| Mark Monsour | OH | Urology Physician | $298.1K | $0 |
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