Physician
Peninsula Pathology Associates Incorporated
Peninsula Pathology Associates Incorporated was paid $2.29M by Medicaid between Jan 2018 and Dec 2024, across 140 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 41% of everything it billed.
33Billing provider infoPENINSULA PATHOLOGY ASSOCIATES INCORPORATED
NEWPORT NEWS, VA 23601
NEWPORT NEWS, VA 23601
33aNPI1306834858assigned 10/10/2005
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$2.29M
24GClaims813,079
24DCodes billed140
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Virginia
Rank by total paid#5 of 63
Median peer was paid$6K
This provider vs. median370×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SMITH, DAVID controls 20+ related entities in our dataset. Read more
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 | 51,609 | $143K | |
| 2019 | 59,448 | $347K | |
| 2020 | 65,602 | $364K | |
| 2021 | 100,896 | $411K | |
| 2022 | 111,134 | $377K | |
| 2023 | 228,152 | $399K | |
| 2024incomplete | 196,238 | $254K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 41% | 24,577 | 21,848 | $949K |
| 88307 | 12% | 4,110 | 3,843 | $284K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 6.6% | 20,837 | 15,898 | $150K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.6% | 128,913 | 74,984 | $129K |
| 88342 | 2.7% | 2,931 | 2,561 | $61K | |
| 83735 | 2.1% | 48,791 | 20,835 | $49K | |
| 82803 | 2.0% | 7,383 | 3,479 | $46K | |
| 84443 | Thyroid stimulating hormone (TSH) | 1.5% | 12,786 | 10,774 | $35K |
| 84484 | 1.3% | 15,945 | 11,681 | $31K | |
| 80061 | Lipid panel | 1.1% | 13,577 | 11,793 | $26K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.1% | 17,134 | 14,316 | $24K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 22,859 | 19,312 | $22K |
128 more codes
| 83605 | <1% | 17,190 | $21K | |
| 83880 | <1% | 6,626 | $20K | |
| 87040 | <1% | 10,156 | $19K | |
| 80053 | Comprehensive metabolic panel | <1% | 32,965 | $17K |
| 88341 | <1% | 366 | $15K | |
| 83690 | <1% | 19,961 | $14K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 2,172 | $12K |
| 85060 | <1% | 976 | $12K | |
| 88304 | <1% | 1,284 | $12K | |
| 84145 | <1% | 6,351 | $11K | |
| 80051 | <1% | 2,355 | $11K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 2,171 | $11K |
| 82607 | <1% | 4,695 | $11K | |
| 81001 | <1% | 32,995 | $11K | |
| 82947 | <1% | 10,220 | $10K | |
| 82728 | <1% | 4,785 | $10K | |
| 87077 | <1% | 7,410 | $9K | |
| 82565 | <1% | 8,066 | $9K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 17,566 | $9K |
| 84439 | <1% | 6,163 | $9K | |
| 87186 | <1% | 6,528 | $9K | |
| 86901 | <1% | 18,732 | $9K | |
| 87430 | <1% | 5,626 | $8K | |
| 85610 | <1% | 14,775 | $8K | |
| 81025 | <1% | 18,506 | $8K | |
| 87480 | <1% | 3,157 | $7K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 4,178 | $7K |
| 87510 | <1% | 3,158 | $7K | |
| 80050 | General health panel | <1% | 3,862 | $7K |
| 80047 | <1% | 11,204 | $7K | |
| 86920 | <1% | 1,005 | $7K | |
| 86140 | <1% | 8,069 | $6K | |
| 85027 | <1% | 7,742 | $6K | |
| 86900 | <1% | 18,735 | $6K | |
| 83550 | <1% | 4,362 | $6K | |
| 84100 | <1% | 4,802 | $6K | |
| 87340 | <1% | 3,407 | $6K | |
| 84520 | <1% | 5,839 | $6K | |
| 80069 | <1% | 7,655 | $5K | |
| 83540 | <1% | 4,551 | $5K | |
| 86803 | <1% | 2,187 | $4K | |
| 87660 | <1% | 2,454 | $4K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 1,136 | $4K |
| 84702 | <1% | 3,768 | $4K | |
| 85730 | <1% | 6,061 | $4K | |
| 87070 | <1% | 3,283 | $4K | |
| 86885 | <1% | 8,711 | $4K | |
| 87081 | <1% | 5,347 | $4K | |
| 87205 | <1% | 4,883 | $4K | |
| 82550 | <1% | 2,925 | $3K | |
| 82570 | <1% | 4,332 | $3K | |
| 84132 | <1% | 7,493 | $3K | |
| 82140 | <1% | 1,810 | $3K | |
| 83615 | <1% | 4,015 | $3K | |
| 82330 | <1% | 3,763 | $3K | |
| 80076 | <1% | 6,339 | $3K | |
| 80202 | <1% | 2,112 | $2K | |
| 84295 | <1% | 7,171 | $2K | |
| 86592 | <1% | 4,267 | $2K | |
| 85652 | <1% | 5,165 | $2K | |
| 84550 | <1% | 2,034 | $2K | |
| 81003 | <1% | 4,562 | $2K | |
| 82746 | <1% | 1,042 | $2K | |
| 84153 | <1% | 758 | $2K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 481 | $2K |
| 85018 | <1% | 3,561 | $2K | |
| 85014 | <1% | 3,584 | $2K | |
| 85379 | <1% | 4,436 | $1K | |
| 86880 | <1% | 2,821 | $1K | |
| 80177 | <1% | 712 | $1K | |
| 84703 | <1% | 3,947 | $1K | |
| 88112 | <1% | 83 | $1K | |
| 82247 | <1% | 2,683 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 219 | $933.24 |
| 84156 | <1% | 2,184 | $925.82 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 468 | $864.83 |
| 80074 | <1% | 348 | $816.85 | |
| 86756 | <1% | 1,314 | $807.08 | |
| 88302 | <1% | 118 | $799.71 | |
| 84480 | <1% | 463 | $776.26 | |
| 82435 | <1% | 3,961 | $753.10 | |
| 82374 | <1% | 3,962 | $739.61 | |
| 88173 | <1% | 18 | $729.70 | |
| 87075 | <1% | 626 | $577.34 | |
| 80164 | <1% | 594 | $576.14 | |
| 87116 | <1% | 416 | $569.88 | |
| 87206 | <1% | 680 | $562.90 | |
| 87102 | <1% | 547 | $459.71 | |
| 82248 | <1% | 1,375 | $443.01 | |
| 86706 | <1% | 261 | $367.19 | |
| 88311 | <1% | 57 | $354.95 | |
| 87015 | <1% | 409 | $277.01 | |
| 86870 | <1% | 329 | $238.64 | |
| 82043 | <1% | 653 | $196.69 | |
| 85045 | <1% | 953 | $188.06 | |
| 86580 | <1% | 736 | $180.98 | |
| 81002 | <1% | 981 | $180.68 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 35 | $164.71 |
| 87210 | <1% | 143 | $164.02 | |
| 89051 | <1% | 433 | $159.92 | |
| 87449 | <1% | 284 | $125.90 | |
| 84146 | <1% | 87 | $105.26 | |
| 84165 | <1% | 16 | $88.40 | |
| 82010 | <1% | 631 | $79.32 | |
| 84157 | <1% | 222 | $48.60 | |
| 84300 | <1% | 264 | $45.71 | |
| 88300 | <1% | 14 | $39.46 | |
| 86618 | <1% | 13 | $34.06 | |
| 86762 | <1% | 13 | $28.12 | |
| 86141 | <1% | 91 | $25.29 | |
| 81015 | <1% | 189 | $24.05 | |
| 82553 | <1% | 27 | $21.33 | |
| 84481 | <1% | 20 | $20.90 | |
| 87045 | <1% | 116 | $19.47 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | <1% | 15 | $19.31 |
| 84478 | <1% | 44 | $18.89 | |
| 82945 | <1% | 89 | $15.92 | |
| 82270 | <1% | 109 | $12.55 | |
| 86850 | <1% | 18 | $12.45 | |
| 87046 | <1% | 134 | $8.08 | |
| 82950 | <1% | 45 | $4.75 | |
| 84155 | <1% | 17 | $3.67 | |
| 86308 | <1% | 27 | $2.01 | |
| 87481 | 0% | 16 | $0.00 | |
| 82800 | 0% | 24 | $0.00 | |
| 87899 | 0% | 12 | $0.00 | |
| 82150 | 0% | 68 | $0.00 | |
| 80081 | 0% | 56 | $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 officialSMITH, DAVID (PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.