Highlands Pathology Consultants, P.C.

Highlands Pathology Consultants, P.C. was paid $331K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 97% of everything it billed.

33Billing provider infoHIGHLANDS PATHOLOGY CONSULTANTS, P.C.
BRISTOL, TN 37620

33aNPI1063498970assigned 12/22/2005

33bProvider typeAnatomic Pathology & Clinical Pathology Physician

28Total paid$331K

24GClaims9,001

24DCodes billed6

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in Tennessee

Rank by total paid#9 of 73

Median peer was paid$13K

This provider vs. median25×

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	968	$18K
2019	1,309	$48K
2020	1,302	$49K
2021	1,556	$67K
2022	1,507	$58K
2023	1,408	$54K
2024incomplete	951	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
88305	Level IV - Surgical pathology, gross and microscopic examination	97%	8,656	7,615	$320K
88307		1.7%	74	68	$6K
88342		<1%	48	40	$2K
88304		<1%	117	115	$2K
85060		<1%	89	78	$683.43
88112		<1%	17	13	$335.54

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 officialHUDGENS, DAVID (MEDICAL DIRECTOR)