Boulder Valley Pathology P C

Boulder Valley Pathology P C was paid $124K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 48% of everything it billed.

33Billing provider infoBOULDER VALLEY PATHOLOGY P C
BOULDER, CO 80303

33aNPI1205897220assigned 03/29/2006

33bProvider typeAnatomic Pathology & Clinical Pathology Physician

28Total paid$124K

24GClaims6,959

24DCodes billed20

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

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

Rank by total paid#11 of 40

Median peer was paid$32K

This provider vs. median3.9×

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	770	$23K
2019	711	$20K
2020	871	$16K
2021	1,329	$23K
2022	839	$19K
2023	1,231	$16K
2024incomplete	1,208	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
88305	Level IV - Surgical pathology, gross and microscopic examination	48%	1,143	984	$59K
88142		31%	2,647	2,058	$38K
88175	Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer	14%	913	879	$18K
88342		4.0%	162	133	$5K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	686	473	$978.27
88304		<1%	44	43	$686.13
88112		<1%	16	14	$622.90
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	<1%	275	248	$568.75
80048	Basic metabolic panel (calcium, ionized)	<1%	420	253	$555.80
84165		<1%	40	36	$395.97
0202U	Oncology (prostate), multianalyte, gene expression profiling	<1%	15	12	$241.40
88141		<1%	12	12	$178.48

8 more codes

80061	Lipid panel	<1%	183	$26.78
85027		<1%	42	$20.72
83036	Hemoglobin; glycosylated (A1C)	<1%	163	$19.42
80053	Comprehensive metabolic panel	<1%	52	$16.90
80047		<1%	36	$11.96
80320		<1%	63	$7.35
85014		<1%	27	$3.80
80306		0%	20	$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 officialHANLEY, KEVIN (PRESIDENT)