Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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G0416

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method

Medicaid paid $179K on code G0416 from 2018 through 2024, to 17 providers — the #5,541 code in the file by dollars. 43% of it was billed in Puerto Rico.

28Total paid$179K
24GClaims1,881
Paid per claim line$95.31
33Providers billing it17
Box 32 · Location

Where G0416 is billed

  1. $78K
  2. $31K
  3. $30K
  4. $17K
  5. $10K
  6. $6.4K
  7. $4.3K
  8. $2.7K
  9. $166
  10. $46
  11. $0

The largest of 11 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing G0416

#ProviderLocationClaimsPaid on G0416
1 Coreplus Servicios Clinicos Y Patologicos LLC Carolina, PR 267 $78K
2 A2cl Services, LLC West Allis, WI 128 $31K
3 Chesapeake Urology Associates, LLC Silver Spring, MD 583 $30K
4 Dianon Systems INC Oklahoma City, OK 429 $17K
5 Bayhealth Medical Center, INC. Milford, DE 13 $7K
6 Northwell Health Laboratories New Hyde Park, NY 12 $4K
7 Path MD INC Duarte, CA 42 $3K
8 Bayhealth Medical Center, INC. Dover, DE 15 $3K
9 Unilab Corporation West Hills, CA 121 $3K
10 Inform Diagnostics, INC. Coppell, TX 36 $1K
11 Propath Services, LLC Dallas, TX 30 $824.91
12 Mattison Pathology, L.L.P. Dallas, TX 26 $569.83
13 Western Diagnostic Services Laboratory, LLC Santa Maria, CA 13 $508.44
14 Geisinger Medical Center Danville, PA 32 $166.10
15 New Jersey Urology LLC Bloomfield, NJ 15 $45.60
16 Boston Medical Center Corporation Boston, MA 79 $0.00
17 Chesapeake Urology Associates, LLC Owings Mills, MD 40 $0.00