Community Pathology Laboratory LLC
Community Pathology Laboratory LLC was paid $1.12M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 57% of everything it billed.
33Billing provider infoCOMMUNITY PATHOLOGY LABORATORY LLC
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
33aNPI1366440570assigned 07/12/2005
33bProvider typeSpecialist
28Total paid$1.12M
24GClaims46,174
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#35 of 252
Median peer was paid$57K
This provider vs. median20×
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 | 6,250 | $146K | |
| 2019 | 7,481 | $165K | |
| 2020 | 6,321 | $161K | |
| 2021 | 7,944 | $187K | |
| 2022 | 6,396 | $154K | |
| 2023 | 6,593 | $165K | |
| 2024incomplete | 5,189 | $139K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 57% | 24,295 | 18,816 | $641K |
| 88307 | 20% | 4,472 | 3,946 | $219K | |
| 88304 | 10% | 7,928 | 6,482 | $117K | |
| 88173 | 2.7% | 742 | 582 | $31K | |
| 88342 | 2.7% | 1,981 | 1,437 | $30K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 2.2% | 614 | 377 | $25K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 1.1% | 1,084 | 1,040 | $12K |
| 88112 | <1% | 903 | 716 | $11K | |
| 88302 | <1% | 847 | 724 | $6K | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 544 | 318 | $6K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 540 | 522 | $6K |
| 88311 | <1% | 934 | 812 | $3K |
8 more codes
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 171 | $2K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 168 | $2K |
| 88341 | <1% | 116 | $2K | |
| 85060 | <1% | 623 | $2K | |
| 88141 | <1% | 107 | $944.71 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 38 | $554.41 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $184.11 |
| 3126F | 0% | 54 | $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 officialHALL, MICHAEL (OFFICE MGR)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.