Lab
Valley Pathology Medical Group
Valley Pathology Medical Group was paid $21K by Medicaid between Jan 2018 and Jul 2019, across 36 billing codes. Its largest line is 80053, Comprehensive metabolic panel — 22% of everything it billed.
33Billing provider infoVALLEY PATHOLOGY MEDICAL GROUP
HEMET, CA 92543
HEMET, CA 92543
33aNPI1023314507assigned 02/01/2011
33bProvider typeClinical Medical Laboratory
28Total paid$21K
24GClaims16,674
24DCodes billed36
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Clinical Medical Laboratory providers in California
Rank by total paid#401 of 561
Median peer was paid$222K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,869 | $8K | |
| 2019 | 9,805 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80053 | Comprehensive metabolic panel | 22% | 2,871 | 1,796 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 20% | 3,484 | 1,980 | $4K |
| 81025 | 8.5% | 730 | 678 | $2K | |
| 84484 | 8.5% | 1,188 | 941 | $2K | |
| 85730 | 4.7% | 1,010 | 843 | $999.11 | |
| 83690 | 4.1% | 803 | 662 | $869.99 | |
| 85610 | 3.4% | 1,130 | 890 | $725.65 | |
| 87088 | 3.0% | 578 | 550 | $644.93 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 3.0% | 494 | 247 | $627.84 |
| 81015 | 2.8% | 1,326 | 1,221 | $602.40 | |
| 84443 | Thyroid stimulating hormone (TSH) | 2.8% | 215 | 202 | $592.76 |
| 82803 | 1.7% | 153 | 76 | $357.14 |
24 more codes
| 87070 | 1.3% | 217 | $278.63 | |
| 87040 | 1.3% | 171 | $275.91 | |
| 84702 | 1.2% | 101 | $259.38 | |
| 82150 | 1.1% | 231 | $231.42 | |
| 86703 | 1.1% | 90 | $228.45 | |
| 87077 | 1.1% | 168 | $224.19 | |
| 81002 | <1% | 511 | $207.38 | |
| 83605 | <1% | 102 | $176.70 | |
| 87186 | <1% | 113 | $157.94 | |
| 82140 | <1% | 67 | $156.60 | |
| 84439 | <1% | 94 | $141.96 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 77 | $131.25 |
| 80061 | Lipid panel | <1% | 55 | $116.79 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 78 | $105.08 |
| 82607 | <1% | 40 | $100.32 | |
| 86677 | <1% | 43 | $92.16 | |
| 86780 | <1% | 45 | $90.39 | |
| 86900 | <1% | 145 | $63.83 | |
| 86901 | <1% | 129 | $57.81 | |
| 86850 | <1% | 59 | $27.03 | |
| 82977 | <1% | 13 | $16.64 | |
| 87205 | <1% | 12 | $7.48 | |
| 80320 | 0% | 119 | $0.00 | |
| 80329 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMARE, ALAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Valley Pathology Medical Group | Hemet, CA | $1.01M |
| Valley Pathology Medical Group | Hemet, CA | $63.10 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.