Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

AMERIPATH NEW YORK, LLC

NPI: 1366827602 · CLIFTON, NJ 07012 · Clinical Medical Laboratory · NPI assigned 07/28/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official WHEELER, DARREN controls 20+ related entities in our dataset. Read more

$1.55M
Total Medicaid Paid
62,596
Total Claims
60,137
Beneficiaries
160
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWHEELER, DARREN (VICE PRESIDENT)
Parent OrganizationAMERIPATH, INC
NPI Enumeration Date07/28/2015

Related Entities

Other providers sharing the same authorized official: WHEELER, DARREN

ProviderCityStateTotal Paid
COLORADO PATHOLOGY CONSULTANTS PC DENVER CO $13.20M
AMERIPATH NEW YORK LLC SHELTON CT $7.70M
AMERIPATH NEW YORK LLC WHITE PLAINS NY $4.88M
AMERIPATH HOSPITAL SERVICES-FLORIDA LLC FORT MYERS FL $3.60M
AMERIPATH FLORIDA LLC POMPANO BEACH FL $3.50M
DIAGNOSTIC PATHOLOGY SERVICES, INC. OKLAHOMA CITY OK $2.94M
HOFFMAN, MD, ASSOCIATED PATHOLOGISTS CHARTERED LAS VEGAS NV $1.52M
AMERIPATH CLEVELAND INC TWINSBURG OH $749K
AMERIPATH TEXAS, INC. LEWISVILLE TX $712K
INSTITUTE FOR DERMATOPATHOLOGY, INC. NEWTOWN SQUARE PA $636K
AMERIPATH CINCINNATI INC CINCINNATI OH $603K
AMERIPATH LUBBOCK 501A CORPORATION LUBBOCK TX $594K
INSTITUTE FOR DERMATOPATHOLOGY, INC. PITTSBURGH PA $522K
AMERIPATH TUCSON INC TUCSON AZ $514K
AMERIPATH KENTUCKY INC LEXINGTON KY $458K
AMERIPATH FLORIDA LLC FORT MYERS FL $415K
AMERIPATH FLORIDA LLC ALTAMONTE SPRINGS FL $332K
DERMATOPATHOLOGY OF WISCONSIN SC BROOKFIELD WI $304K
PHENOPATH LABORATORIES PLLC SEATTLE WA $279K
AMERIPATH LUBBOCK 501A CORPORATION LUBBOCK TX $186K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 42,960 $178K
2019 5,197 $416K
2020 3,009 $219K
2021 3,319 $206K
2022 3,201 $208K
2023 2,806 $195K
2024 2,104 $129K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
88305 Level IV - Surgical pathology, gross and microscopic examination 13,545 12,139 $968K
88312 2,656 2,552 $255K
88313 2,559 2,478 $170K
88173 878 849 $45K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 507 506 $16K
88112 2,698 2,647 $13K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,225 1,210 $7K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 755 465 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,221 1,206 $6K
87799 187 186 $6K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 497 271 $6K
80050 General health panel 1,606 1,606 $5K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 174 174 $4K
88304 254 254 $2K
80061 Lipid panel 2,563 2,561 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 287 287 $2K
87512 185 184 $2K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 41 41 $2K
88342 38 37 $2K
86480 216 216 $2K
87481 181 180 $2K
83036 Hemoglobin; glycosylated (A1C) 2,153 2,152 $1K
80053 Comprehensive metabolic panel 1,531 1,506 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,549 1,523 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 495 495 $1K
87086 Culture, bacterial; quantitative colony count, urine 693 672 $923.23
84443 Thyroid stimulating hormone (TSH) 530 527 $917.28
87070 565 554 $885.92
86003 58 58 $837.49
82607 675 674 $648.62
82728 516 512 $643.95
80074 92 92 $599.88
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1,290 1,289 $590.33
82746 510 509 $509.19
86696 115 115 $466.95
81001 1,668 1,649 $459.54
84702 195 184 $442.40
84439 779 777 $425.70
84153 368 368 $424.60
83550 569 565 $402.35
87480 100 99 $399.95
87510 100 99 $399.95
87660 100 99 $357.85
87536 33 32 $357.20
83540 879 875 $355.07
83655 198 198 $305.04
83970 60 58 $303.24
87340 413 413 $291.84
87088 189 183 $288.66
84146 99 99 $284.62
84403 95 94 $270.90
82043 571 571 $254.94
86695 101 101 $249.12
87186 147 142 $235.82
83001 103 103 $234.00
82570 591 589 $222.63
36415 Collection of venous blood by venipuncture 797 775 $211.65
86592 508 507 $210.56
86803 290 290 $209.58
83021 74 74 $208.45
82670 57 57 $205.24
87077 131 126 $203.28
86787 145 145 $202.78
84144 45 43 $197.10
83002 99 99 $194.30
84402 34 34 $187.11
85027 288 288 $183.06
84480 237 237 $178.56
82105 173 173 $176.00
86317 231 231 $173.03
88141 22 21 $162.00
80081 12 12 $157.12
86762 148 147 $151.89
86735 138 138 $150.59
86765 142 142 $148.72
87081 262 255 $145.95
84436 357 357 $144.20
84481 134 133 $142.24
84550 811 810 $140.29
86706 204 204 $135.24
84154 62 62 $135.10
87517 108 108 $134.85
87631 21 21 $134.62
80048 Basic metabolic panel (calcium, ionized) 143 143 $133.05
82248 685 685 $132.94
82977 498 497 $123.79
85610 206 187 $123.60
84479 324 324 $122.04
82627 29 29 $116.65
86376 64 64 $106.89
83615 476 476 $104.11
82677 27 27 $101.48
85730 109 107 $100.96
86800 80 80 $100.14
86360 13 13 $98.62
87147 151 150 $88.80
86038 150 149 $88.76
86704 98 98 $88.55
82785 44 44 $86.35
82652 100 100 $80.80
84100 462 462 $77.16
86336 27 27 $65.40
83735 145 145 $63.27
83516 29 29 $60.50
80076 94 92 $60.06
82565 61 61 $56.63
86235 13 13 $56.46
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 16 16 $56.28
82747 16 16 $54.51
86708 133 133 $52.00
82274 75 75 $50.07
82150 59 57 $47.60
82465 101 101 $43.87
83690 59 58 $43.38
88142 99 99 $42.52
86780 33 33 $41.67
87254 12 12 $41.06
82550 141 140 $40.98
81003 179 179 $39.95
82378 34 34 $39.80
82950 39 39 $34.86
86617 12 12 $32.52
84520 51 51 $31.88
85652 261 259 $31.13
86901 62 61 $25.12
84156 62 61 $23.10
84460 36 36 $20.84
82784 48 48 $19.52
82310 65 63 $19.06
86900 56 55 $18.84
86618 26 26 $17.87
85045 49 49 $16.76
86140 176 174 $16.29
87338 12 12 $15.10
84478 47 47 $14.89
86225 13 13 $14.42
86141 33 33 $13.58
83010 13 13 $13.20
86255 13 13 $12.65
87427 24 24 $12.58
86431 108 107 $11.90
86039 13 13 $11.71
84450 27 27 $10.86
87045 26 26 $9.91
87046 25 25 $9.91
82247 13 13 $9.42
82947 34 34 $2.91
83721 56 56 $0.00
86200 35 35 $0.00
86709 28 28 $0.00
86334 12 12 $0.00
83013 14 14 $0.00
87209 13 13 $0.00
87177 13 13 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 15 15 $0.00
86850 12 12 $0.00
87650 39 39 $0.00
86707 42 42 $0.00
87350 41 41 $0.00
84703 14 14 $0.00