Physician
San Diego Pathologists Medical Group INC
San Diego Pathologists Medical Group INC was paid $121K by Medicaid between Jan 2018 and Nov 2024, across 63 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 35% of everything it billed.
33Billing provider infoSAN DIEGO PATHOLOGISTS MEDICAL GROUP INC
SAN DIEGO, CA 92108
SAN DIEGO, CA 92108
33aNPI1174836894assigned 07/22/2010
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$121K
24GClaims54,691
24DCodes billed63
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in California
Rank by total paid#91 of 222
Median peer was paid$42K
This provider vs. median2.8×
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 | 23,335 | $50K | |
| 2019 | 837 | $12K | |
| 2020 | 521 | $6K | |
| 2021 | 525 | $6K | |
| 2022 | 6,178 | $9K | |
| 2023 | 15,677 | $21K | |
| 2024incomplete | 7,618 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 35% | 3,447 | 3,056 | $42K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 14% | 12,575 | 6,338 | $17K |
| 80053 | Comprehensive metabolic panel | 12% | 8,844 | 4,822 | $15K |
| 80048 | Basic metabolic panel (calcium, ionized) | 3.5% | 3,574 | 1,983 | $4K |
| 88304 | 3.4% | 161 | 161 | $4K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 3.2% | 1,316 | 968 | $4K |
| 84484 | 3.1% | 2,158 | 1,826 | $4K | |
| 83880 | 2.5% | 622 | 583 | $3K | |
| 83735 | 2.2% | 2,667 | 1,120 | $3K | |
| 83690 | 2.0% | 2,294 | 2,088 | $2K | |
| 87040 | 1.9% | 832 | 692 | $2K | |
| 83605 | 1.7% | 1,059 | 799 | $2K |
51 more codes
| 88307 | 1.7% | 37 | $2K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.1% | 254 | $1K |
| 88342 | <1% | 52 | $1K | |
| 85730 | <1% | 1,100 | $1K | |
| 85610 | <1% | 1,736 | $1K | |
| 81001 | <1% | 2,233 | $998.53 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 376 | $855.68 |
| 84703 | <1% | 811 | $849.04 | |
| 88321 | <1% | 15 | $845.18 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 628 | $760.88 |
| 84100 | <1% | 800 | $596.85 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 399 | $569.28 |
| 82330 | <1% | 180 | $561.21 | |
| 88323 | <1% | 14 | $540.02 | |
| 85027 | <1% | 551 | $490.42 | |
| 82550 | <1% | 292 | $425.50 | |
| 87186 | <1% | 245 | $359.20 | |
| 87070 | <1% | 254 | $331.52 | |
| 87077 | <1% | 224 | $283.36 | |
| 80061 | Lipid panel | <1% | 158 | $270.22 |
| 86901 | <1% | 551 | $239.70 | |
| 86900 | <1% | 542 | $229.99 | |
| 87205 | <1% | 284 | $217.60 | |
| 82553 | <1% | 73 | $207.03 | |
| 80074 | <1% | 29 | $207.00 | |
| 80202 | <1% | 84 | $180.75 | |
| 81003 | <1% | 524 | $180.42 | |
| 86140 | <1% | 228 | $176.57 | |
| 81025 | <1% | 120 | $155.56 | |
| 86850 | <1% | 234 | $105.96 | |
| 84132 | <1% | 254 | $104.72 | |
| 82247 | <1% | 123 | $96.39 | |
| 87075 | <1% | 57 | $86.70 | |
| 84702 | <1% | 31 | $81.22 | |
| 85652 | <1% | 179 | $77.28 | |
| 82803 | <1% | 33 | $72.43 | |
| 80051 | <1% | 60 | $57.04 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 260 | $54.01 |
| 80069 | <1% | 43 | $52.50 | |
| 85379 | <1% | 27 | $47.06 | |
| 80306 | <1% | 800 | $36.17 | |
| 84439 | <1% | 29 | $31.20 | |
| 82947 | <1% | 44 | $31.20 | |
| 87102 | <1% | 14 | $23.68 | |
| 84155 | <1% | 36 | $18.56 | |
| 84460 | <1% | 21 | $18.20 | |
| 84450 | <1% | 21 | $17.40 | |
| 84075 | <1% | 21 | $16.40 | |
| 87081 | <1% | 15 | $15.82 | |
| 85018 | <1% | 27 | $5.31 | |
| 85014 | <1% | 19 | $3.87 |
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 officialSTAYBOLDT, CARLA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| San Diego Pathologists Medical Group INC | San Diego, CA | $5.16M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.