Physician
Pathology Associates of Southwestern Virginia INC
Pathology Associates of Southwestern Virginia INC was paid $336K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 50% of everything it billed.
33Billing provider infoPATHOLOGY ASSOCIATES OF SOUTHWESTERN VIRGINIA INC
GALAX, VA 24333
GALAX, VA 24333
33aNPI1093718587assigned 05/27/2005
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$336K
24GClaims14,452
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Virginia
Rank by total paid#11 of 63
Median peer was paid$6K
This provider vs. median54×
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 | 1,205 | $17K | |
| 2019 | 4,005 | $53K | |
| 2020 | 2,823 | $52K | |
| 2021 | 1,812 | $42K | |
| 2022 | 1,283 | $48K | |
| 2023 | 1,660 | $60K | |
| 2024incomplete | 1,664 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 50% | 4,146 | 3,641 | $170K |
| 88307 | 25% | 1,469 | 1,313 | $85K | |
| 88312 | 16% | 1,782 | 1,561 | $52K | |
| 88313 | 2.2% | 832 | 730 | $7K | |
| 88304 | 1.4% | 587 | 530 | $5K | |
| 85060 | 1.2% | 476 | 436 | $4K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 1.0% | 141 | 96 | $3K |
| 88341 | <1% | 57 | 51 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,360 | 1,536 | $2K |
| 88342 | <1% | 84 | 70 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 130 | 106 | $1K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 641 | 518 | $779.22 |
14 more codes
| 83690 | <1% | 230 | $294.03 | |
| 87070 | <1% | 438 | $170.95 | |
| 80061 | Lipid panel | <1% | 205 | $125.52 |
| 81001 | <1% | 474 | $103.60 | |
| 84484 | <1% | 78 | $56.80 | |
| 85027 | <1% | 19 | $33.60 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 100 | $18.80 |
| 87186 | <1% | 23 | $18.41 | |
| 81003 | <1% | 29 | $16.35 | |
| 81015 | <1% | 41 | $6.45 | |
| 81025 | <1% | 27 | $0.42 | |
| 87400 | 0% | 13 | $0.00 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 0% | 58 | $0.00 |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 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 officialCARLO-DEMOVICH, JAMIE (PRESIDENT/OWNER)