Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Kanawha Pathology Associates INC

Kanawha Pathology Associates INC was paid $332K by Medicaid between Jan 2018 and Mar 2020, across 19 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 59% of everything it billed.

33Billing provider infoKANAWHA PATHOLOGY ASSOCIATES INC
SOUTH CHARLESTON, WV 25309
33aNPI1346249448assigned 07/20/2005
28Total paid$332K
24GClaims7,743
24DCodes billed19
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in West Virginia

Rank by total paid#2 of 6
Median peer was paid$113K
This provider vs. median2.9×

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

$0$20K$40K2018201920202021202220232024
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
20182,479$163K
20194,345$116K
2020919$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 59% 3,363 2,928 $197K
88342 23% 1,166 1,026 $75K
88307 17% 623 585 $57K
88304 <1% 96 92 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 193 157 $300.00
80053 Comprehensive metabolic panel <1% 176 150 $140.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 529 236 $72.00
80355 <1% 525 236 $60.00
84443 Thyroid stimulating hormone (TSH) <1% 141 121 $18.67
86703 0% 165 155 $0.00
80076 0% 14 13 $0.00
80074 0% 164 154 $0.00
7 more codes
84439 0% 17 $0.00
84703 0% 46 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 69 $0.00
81001 0% 64 $0.00
80050 General health panel 0% 95 $0.00
80320 0% 131 $0.00
86592 0% 166 $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 officialFULKS, ROBERT (PRESIDENT/PATHOLOGIST)