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NPI 1912930900 · Thousand Oaks, CA · Clinical Medical Laboratory
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Thousand Oaks Pathology Associates Inc A Medical Group is a clinical medical laboratory provider located in Thousand Oaks, California. This profile covers 51 Medicare and 33 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 | Thousand Oaks Pathology Associates Inc A Medical Group |
| Address | 351 Rolling Oaks Dr |
| City | Thousand Oaks |
| State | CA |
| ZIP | 91361 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | July 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5M |
| Medicare | $2.1M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
51 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… | 12,290 | $50 | $626.8K |
| 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… | 2,750 | $100 | $263.5K |
| 87631 | The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,… | 1,580 | $140 | $221.2K |
| 88360 | The 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… | 1,730 | $100 | $180.1K |
| 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… | 2,160 | $70 | $149.1K |
| 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,… | 1,280 | $80 | $98.3K |
| 87505 | The lab analyst performs a test to detect three to five types or subtypes of a pathogen, such as Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia, that cause gastrointestinal… | 700 | $130 | $88.6K |
| 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… | 490 | $180 | $86.2K |
| 88173 | The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results. | 490 | $140 | $69.9K |
| 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,… | 870 | $70 | $62.8K |
Showing 1–10 of 51
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 51 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
51 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 87798 | 68 | 110 | 1,340 | $30 | $338.2K |
| U0003 | 95 | 130 | 730 | $70 | $246.4K |
| U0005 | 111 | 150 | 780 | $20 | $75.1K |
| 87481 | 70 | 100 | 270 | $30 | $72.7K |
| 87631 | 3 | 40 | 140 | $140 | $63.8K |
| 88374 | 6 | 60 | 80 | $70 | $56.3K |
| 88305 | 18 | 1,580 | 450 | $40 | $51.3K |
| 88377 | 63 | 100 | 40 | $140 | $41.6K |
| 87541 | 31 | 30 | 630 | $30 | $37.5K |
| 87640 | 66 | 70 | 270 | $30 | $35.7K |
Showing 1–10 of 51
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.
33 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87633 | The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for… | 6,350 | $430 | $2.7M |
| 87798 | The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified… | 6,860 | $80 | $528.2K |
| 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… | 11,330 | $30 | $306K |
| 87486 | The lab analyst performs a test for Chlamydia pneumoniae using amplified nucleic acid probe technique. Chlamydia pneumoniae also known as TWAR, Taiwan Acute Respiratory agent, commonly causes mild… | 6,400 | $40 | $236.7K |
| 87581 | The lab analyst performs a test for Mycoplasma pneumonia, a bacteria, using amplified nucleic acid probe technique. | 6,390 | $40 | $236.6K |
| U0003 | Infectious 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… | 2,450 | $70 | $171.4K |
| 0202U | This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the… | 370 | $350 | $129.2K |
| 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… | 2,100 | $50 | $109.1K |
| 87481 | The lab analyst performs a test for Candida species using amplified nucleic acid probe technique. | 1,100 | $100 | $106.4K |
| 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… | 1,090 | $60 | $64.5K |
Showing 1–10 of 33
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
33 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| U0003 | Infectious 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… | 241 | 750 | 950 | $50 | $890K |
| 0202U | This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the… | 59 | 90 | 740 | $210 | $382.4K |
| 88374 | The lab analyst applies a single multiplex in situ hybridization probe stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. The lab analyst processes the slides… | 3 | 10 | 90 | $90 | $371.2K |
| 87633 | The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for… | 16 | 290 | 220 | $210 | $268.3K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 382 | 1,140 | 530 | $20 | $195.6K |
| 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… | 99 | 830 | 880 | $40 | $195.6K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 401 | 1,270 | 450 | $20 | $183.5K |
| 88175 | The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer… | 81 | 210 | 280 | $10 | $160.2K |
| 87624 | The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result. | 115 | 300 | 250 | $10 | $121.5K |
| U0005 | Infectious 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,… | 231 | 520 | 470 | $10 | $116K |
Showing 1–10 of 33
Other providers in the same ZIP code as Thousand Oaks Pathology Associates Inc A Medical Group, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Beronica Simpson | CA | Family Nurse Practitioner | $3.3M | $0 |
| Ashraf Nashed | CA | Cardiovascular Disease Physician | $882K | $1.3M |
| Shahryar Ashouri | CA | Hematology & Oncology Physician | $2.2M | $0 |
| Synergy Surgical Center, LLC | CA | Ambulatory Surgical Clinic/Center | $1.6M | $0 |
| Bassam Ghanem | CA | Hematology & Oncology Physician | $1.5M | $0 |
| Bahareh Bahadini | CA | Hematology & Oncology Physician | $1M | $0 |
| Dlv Vision Asc, LLC | CA | Ambulatory Surgical Clinic/Center | $993.5K | $0 |
| Michael Bodnar | CA | Dermatology Physician | $977.1K | $0 |
| The Westlake Ophthalmology Asc, LLC | CA | Ambulatory Surgical Clinic/Center | $883K | $0 |
| Robert Sitarz | CA | Diagnostic Radiology Physician | $875K | $0 |
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