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 Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado 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. Colorado (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.

Summit Pathology (NPI 1912966458)

Summit Pathology is a anatomic pathology & clinical pathology physician provider located in Loveland, Colorado. This profile covers 0 Medicare and 41 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	Summit Pathology
Address	5802 Wright Dr
City	Loveland
State	CO
ZIP	80538
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	March 22, 2006

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

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

41 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…	64,150	$40	$2.8M
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…	18,250	$50	$894.3K
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,…	7,230	$20	$166.2K
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…	750	$100	$76.2K
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.	3,060	$20	$61.2K
85060	The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.	4,240	$10	$55.1K
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…	3,710	$10	$52K
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…	5,510	$10	$49.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	1,710	$30	$44.4K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	1,710	$30	$44.4K

Showing 1–10 of 41

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Summit Pathology — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

41 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	7	20	590	$30	$230.4K
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…	5	20	910	$20	$206.3K
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…	1	130	670	$50	$192.3K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	21	60	360	$30	$183.5K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	22	70	350	$30	$150K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	109	180	1,040	$10	$127.6K
87481	The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.	17	20	290	$40	$112.1K
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…	2	40	380	$50	$107K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	14	30	400	$30	$92K
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…	88	110	380	$10	$80.9K

Showing 1–10 of 41

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tender Care Pediatric Services, Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$38.3M
Teamselect Home Care Of Colorado, LLC	CO	Home Health Agency	$0	$30.4M
Poudre Valley Medical Group, LLC	CO	General Practice Physician	$0	$14.9M
North Colorado Medical Center	CO	General Acute Care Hospital	$0	$8.2M
Poudre Valley Medical Group, LLC	CO	General Practice Physician	$0	$8M
Medical Center Of The Rockies	CO	General Acute Care Hospital	$0	$4.8M
Ryan Wolf	CO	Physician Assistant	$4.6M	$0
Thompson Valley Emergency Medical Services Inc	CO	Land Ambulance	$1.1M	$3.3M
Kidstuff Child & Family Counseling, P.C.	CO	Professional Counselor	$0	$4.2M
Ocr Loveland Asc & Ccc LLC	CO	Ambulatory Surgical Clinic/Center	$3.2M	$0

Summit Pathology — Billing Profile & Reimbursement Data

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Summit Pathology — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Summit Pathology	CO	Clinical Medical Laboratory	$670.1K	$4.3M
Gabriel Habermehl	CO	Anatomic Pathology & Clinical Pathology Physician	$167.7K	$0
Arlene Libby	CO	Anatomic Pathology & Clinical Pathology Physician	$162.3K	$0
Narina Grove	CO	Dermatopathology (Pathology) Physician	$154.7K	$0
Michael Walts	CO	Anatomic Pathology & Clinical Pathology Physician	$128.5K	$0
Harry Hamner	CO	Anatomic Pathology & Clinical Pathology Physician	$123.1K	$0
Ross Barner	CO	Anatomic Pathology & Clinical Pathology Physician	$122.3K	$0
Christopher Bee	CO	Anatomic Pathology & Clinical Pathology Physician	$121.1K	$0
Michael Mcfall	CO	Dermatopathology (Pathology) Physician	$120.2K	$0
Claire Murphy	OR	Anatomic Pathology & Clinical Pathology Physician	$120.1K	$0