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NPI 1972575157 · Rockford, IL · Anatomic Pathology & Clinical Pathology Physician
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Sara Fleming is a anatomic pathology & clinical pathology physician provider located in Rockford, Illinois. This profile covers 12 Medicare and 236 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 | Individual |
| Organization | Sara Fleming |
| Address | 1401 E State St |
| City | Rockford |
| State | IL |
| ZIP | 61104 |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| NPI Enumerated | February 2, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.9M |
| Medicare | $24.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 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… | 310 | $30 | $8.6K |
| 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… | 210 | $20 | $4.6K |
| 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,… | 140 | $30 | $3.7K |
| 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… | 60 | $60 | $3.5K |
| 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. | 30 | $50 | $1.3K |
| 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… | 30 | $30 | $900 |
| 88311 | The lab analyst performs a decalcification procedure on a specimen. Dissolving the calcium makes it easier to perform certain examinations. | 70 | $10 | $630 |
| 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… | 30 | $20 | $470 |
| 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… | 40 | $10 | $360 |
| 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… | 20 | $20 | $320 |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 88305 | 391 | 580 | 610 | $30 | $38.2K |
| 88341 | 229 | 450 | 210 | $30 | $11.9K |
| 88342 | 199 | 490 | 120 | $40 | $9K |
| 88360 | 219 | 260 | 60 | $60 | $7.7K |
| 88307 | 252 | 390 | 80 | $70 | $6.1K |
| 88312 | 292 | 310 | 40 | $50 | $5.7K |
| 88112 | 196 | 230 | 80 | $30 | $4.1K |
| 88173 | 172 | 210 | 50 | $60 | $3.9K |
| 88313 | 255 | 280 | 60 | $30 | $3.8K |
| 88304 | 261 | 390 | 60 | $10 | $1.1K |
Showing 1–10 of 12
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.
236 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 37,740 | $40 | $1.4M |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 36,890 | $30 | $959K |
| 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. | 169,720 | $10 | $848.6K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 27,670 | $20 | $608.7K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 27,610 | $20 | $607.4K |
| 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… | 175,870 | $1 | $527.6K |
| 0241U | N/A | 5,750 | $80 | $453.9K |
| 87632 | The lab analyst performs a test to identify a respiratory virus using an amplified nucleic acid probe technique. He may also use the multiplex reverse transcription technique. The provider does this… | 4,950 | $90 | $435.9K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 46,610 | $10 | $372.8K |
| 82805 | The lab analyst measures any number of blood gas parameters using a blood gas analyzer. The test must also include the O2 saturation by direct measurement. | 12,870 | $20 | $308.8K |
Showing 1–10 of 236
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
236 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but… | 8 | 70 | 570 | $50 | $565.6K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 6 | 280 | 1,120 | $30 | $218.9K |
| 87902 | The lab analyst performs the technical lab test to analyze the specific genotype by nucleic acid of a specimen containing hepatitis C virus. | 4 | 10 | 80 | $160 | $192K |
| 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… | 161 | 170 | 150 | $200 | $190.9K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 10 | 360 | 600 | $30 | $165.1K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 10 | 360 | 630 | $30 | $165K |
| 87661 | The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique. | 43 | 160 | 300 | $20 | $145.2K |
| 87632 | The lab analyst performs a test to identify a respiratory virus using an amplified nucleic acid probe technique. He may also use the multiplex reverse transcription technique. The provider does this… | 2 | 10 | 310 | $90 | $123.1K |
| 80050 | The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the… | 9 | 110 | 200 | $40 | $111.1K |
| 83013 | The lab analyst tests multiple breath samples for the presence of an isotope that indicates the presence of the H. pylori bacteria. This organism can cause irritation and ulcers of the stomach lining. | 10 | 30 | 80 | $40 | $103.3K |
Showing 1–10 of 236
Other providers in the same ZIP code as Sara Fleming, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| City Of Rockford | IL | Ambulance | $1.3M | $63.7M |
| Rockford Public Schools Dis205 | IL | Local Education Agency (LEA) | $0 | $13.7M |
| The Board Of Trustees Of The University Of Illinois | IL | Federally Qualified Health Center (FQHC) | $0 | $7.1M |
| Aunt Martha's Health And Wellness | IL | Federally Qualified Health Center (FQHC) | $0 | $2.9M |
| Wei Gao | IL | General Practice Dentistry | $0 | $2.9M |
| Juliette Strombeck | IL | Family Nurse Practitioner | $183.2K | $621K |
| Eric Cuasay | IL | Diagnostic Radiology Physician | $81.9K | $425.5K |
| Anna August | IL | Family Nurse Practitioner | $114.6K | $191.5K |
| Jeffrey Royce | IL | Family Medicine Physician | $20.6K | $144K |
| Rimvydas Gilvydis | IL | Diagnostic Radiology Physician | $152K | $0 |
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