Physician
Cardinal Pathology PC
Cardinal Pathology PC was paid $479K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 85% of everything it billed.
33Billing provider infoCARDINAL PATHOLOGY PC
GLENWOOD SPRINGS, CO 81601
GLENWOOD SPRINGS, CO 81601
33aNPI1356899421assigned 09/16/2016
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$479K
24GClaims12,014
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Colorado
Rank by total paid#8 of 40
Median peer was paid$32K
This provider vs. median15×
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 | 1,992 | $80K | |
| 2019 | 1,749 | $71K | |
| 2020 | 1,589 | $71K | |
| 2021 | 1,594 | $76K | |
| 2022 | 1,589 | $69K | |
| 2023 | 2,355 | $76K | |
| 2024incomplete | 1,146 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 85% | 7,909 | 6,889 | $408K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 12% | 3,142 | 2,930 | $55K |
| 88307 | 1.7% | 158 | 119 | $8K | |
| 88304 | <1% | 348 | 307 | $3K | |
| 88342 | <1% | 128 | 123 | $3K | |
| 88141 | <1% | 32 | 27 | $479.18 | |
| 88312 | <1% | 133 | 108 | $449.13 | |
| 88313 | <1% | 164 | 139 | $379.02 |
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 officialMACAULAY, ROBERT (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| R&M Transportation | Cypress, TX | $181K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.