Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Stephen Pinsk, M.D., INC.

Stephen Pinsk, M.D., INC. was paid $89K by Medicaid between Jan 2018 and May 2020, across 22 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 63% of everything it billed.

33Billing provider infoSTEPHEN PINSK, M.D., INC.
SEBASTOPOL, CA 95472
33aNPI1154337822assigned 08/01/2006
28Total paid$89K
24GClaims8,118
24DCodes billed22
24AFirst – last monthJan 2018 – May 2020
Compared with peers

Next to other Clinical Medical Laboratory providers in California

Rank by total paid#335 of 561
Median peer was paid$222K
This provider vs. median0.4×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20185,149$43K
20192,356$35K
2020613$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 63% 1,562 1,165 $56K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 7.4% 156 156 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 6.8% 144 144 $6K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 6.3% 123 123 $6K
80053 Comprehensive metabolic panel 4.4% 1,598 1,333 $4K
88142 4.2% 159 159 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.9% 1,458 1,115 $3K
83690 1.0% 573 519 $916.98
85027 <1% 562 373 $862.67
80048 Basic metabolic panel (calcium, ionized) <1% 315 181 $624.22
84484 <1% 196 181 $469.09
81001 <1% 469 449 $334.23
10 more codes
83605 <1% 90 $232.82
83735 <1% 122 $198.72
81000 <1% 273 $188.38
85610 <1% 158 $146.26
83880 <1% 13 $97.69
87040 <1% 34 $84.24
84443 Thyroid stimulating hormone (TSH) <1% 12 $43.77
85730 <1% 31 $42.32
81003 <1% 56 $28.96
87086 Culture, bacterial; quantitative colony count, urine <1% 14 $26.38

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 officialMERTENS, STEVE (OWNER/PATHOLOGIST)
Parent organizationSTEPHEN PINSK, M.D., INC.