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    OpenPayerNPI Medicare & MedicaidPathology Consultants Inc
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    Pathology Consultants Inc — Billing Profile & Reimbursement Data

    NPI 1972596864 · Dyer, IN · Anatomic Pathology & Clinical Pathology Physician

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    Pathology Consultants Inc is a anatomic pathology & clinical pathology physician provider located in Dyer, Indiana. This profile covers 0 Medicare and 74 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPathology Consultants Inc
    Address425 Joliet St Ste 323
    CityDyer
    StateIN
    ZIP46311
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedAugust 25, 2005

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

    Payer SourceTotal Paid
    Medicaid$2.9M
    Medicare$0

    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.

    74 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…64,070$30$1.9M
    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…9,340$50$476.1K
    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,…4,920$20$103.2K
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.9,960$10$99.6K
    88141The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by…7,660$10$91.9K
    88304The 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…5,150$10$36.1K
    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…1,010$30$33.3K
    84165The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…5,090$10$30.5K
    86255The lab analyst performs an immunoassay test to screen a patient’s blood, typically serum, for an antibody to a noninfectious agent using a fluorescent method. As a screening test, results show only…2,130$10$17.1K
    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…1,550$10$17.1K

    Showing 1–10 of 74

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Indiana median

    74 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.102190800$40$344.7K
    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…3140830$50$265K
    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…430510$60$171.2K
    87502The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…140160740$60$119.1K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.81110490$30$88.4K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.82110520$20$87.5K
    80053The 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.1412105,200$10$83.7K
    85025A 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…1522903,410$1$71.5K
    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,…750370$20$52.9K
    84484The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…941203,190$10$43.7K

    Showing 1–10 of 74

    • More pages

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark VangorderILAnatomic Pathology & Clinical Pathology Physician$73.5K$3.9M
    Reshma ArigaINAnatomic Pathology & Clinical Pathology Physician$88.1K$791.3K
    Kalisha HillILAnatomic Pathology & Clinical Pathology Physician$95.2K$707K
    Emilie MorphewINAnatomic Pathology & Clinical Pathology Physician$24.5K$202.8K
    Nathan AardsmaINAnatomic Pathology & Clinical Pathology Physician$93.9K$88.2K
    Gerald YanceyINAnatomic Pathology & Clinical Pathology Physician$104.3K$0
    David ChengINAnatomic Pathology & Clinical Pathology Physician$99.4K$0
    Xi WangINAnatomic Pathology & Clinical Pathology Physician$55.5K$39.1K
    Minqian ShenINAnatomic Pathology & Clinical Pathology Physician$88.5K$0
    Huiya HuangINAnatomic Pathology & Clinical Pathology Physician$82.4K$1K

    Nearby Providers

    Other providers in the same ZIP code as Pathology Consultants Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mohamad KassarINHematology & Oncology Physician$4.7M$0
    Franciscan Health Dyer & HammondINGeneral Acute Care Hospital$0$4.5M
    Tae'ni Chang-stroman M.d., P.C.INPediatrics Physician$0$3.5M
    Cannan Healthcare Services & Staffing IncINHome Health Agency$0$3.2M
    Neel ShahINHematology & Oncology Physician$3.2M$0
    Michael TallaricoINMedical Oncology Physician$2.7M$0
    Northwest Cancer Centers, PCINInternal Medicine Physician$0$2.5M
    Gowri RamadasINHematology & Oncology Physician$1.3M$0
    Shruti SinghINHematology & Oncology Physician$1.1M$0
    Kunwarjit DuggalINPhysical Medicine & Rehabilitation Physician$669.7K$18.8K

    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.

    Medicaid Revenue by Year vs. Indiana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Indiana Distribution
    Pathology Consultants Inc — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana