Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ameripath New York, LLC

Ameripath New York, LLC was paid $1.55M by Medicaid between Jan 2018 and Dec 2024, across 160 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 62% of everything it billed.

33Billing provider infoAMERIPATH NEW YORK, LLC
CLIFTON, NJ 07012
33aNPI1366827602assigned 07/28/2015
28Total paid$1.55M
24GClaims62,596
24DCodes billed160
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in New Jersey

Rank by total paid#60 of 122
Median peer was paid$1.29M
This provider vs. median1.2×

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 WHEELER, DARREN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
201842,960$178K
20195,197$416K
20203,009$219K
20213,319$206K
20223,201$208K
20232,806$195K
2024incomplete2,104$129K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 62% 13,545 12,139 $968K
88312 16% 2,656 2,552 $255K
88313 11% 2,559 2,478 $170K
88173 2.9% 878 849 $45K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1.0% 507 506 $16K
88112 <1% 2,698 2,647 $13K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,225 1,210 $7K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 755 465 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,221 1,206 $6K
87799 <1% 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 <1% 497 271 $6K
80050 General health panel <1% 1,606 1,606 $5K
148 more codes
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 174 $4K
88304 <1% 254 $2K
80061 Lipid panel <1% 2,563 $2K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 287 $2K
87512 <1% 185 $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 <1% 41 $2K
88342 <1% 38 $2K
86480 <1% 216 $2K
87481 <1% 181 $2K
83036 Hemoglobin; glycosylated (A1C) <1% 2,153 $1K
80053 Comprehensive metabolic panel <1% 1,531 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,549 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 495 $1K
87086 Culture, bacterial; quantitative colony count, urine <1% 693 $923.23
84443 Thyroid stimulating hormone (TSH) <1% 530 $917.28
87070 <1% 565 $885.92
86003 <1% 58 $837.49
82607 <1% 675 $648.62
82728 <1% 516 $643.95
80074 <1% 92 $599.88
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,290 $590.33
82746 <1% 510 $509.19
86696 <1% 115 $466.95
81001 <1% 1,668 $459.54
84702 <1% 195 $442.40
84439 <1% 779 $425.70
84153 <1% 368 $424.60
83550 <1% 569 $402.35
87480 <1% 100 $399.95
87510 <1% 100 $399.95
87660 <1% 100 $357.85
87536 <1% 33 $357.20
83540 <1% 879 $355.07
83655 <1% 198 $305.04
83970 <1% 60 $303.24
87340 <1% 413 $291.84
87088 <1% 189 $288.66
84146 <1% 99 $284.62
84403 <1% 95 $270.90
82043 <1% 571 $254.94
86695 <1% 101 $249.12
87186 <1% 147 $235.82
83001 <1% 103 $234.00
82570 <1% 591 $222.63
36415 Collection of venous blood by venipuncture <1% 797 $211.65
86592 <1% 508 $210.56
86803 <1% 290 $209.58
83021 <1% 74 $208.45
82670 <1% 57 $205.24
87077 <1% 131 $203.28
86787 <1% 145 $202.78
84144 <1% 45 $197.10
83002 <1% 99 $194.30
84402 <1% 34 $187.11
85027 <1% 288 $183.06
84480 <1% 237 $178.56
82105 <1% 173 $176.00
86317 <1% 231 $173.03
88141 <1% 22 $162.00
80081 <1% 12 $157.12
86762 <1% 148 $151.89
86735 <1% 138 $150.59
86765 <1% 142 $148.72
87081 <1% 262 $145.95
84436 <1% 357 $144.20
84481 <1% 134 $142.24
84550 <1% 811 $140.29
86706 <1% 204 $135.24
84154 <1% 62 $135.10
87517 <1% 108 $134.85
87631 <1% 21 $134.62
80048 Basic metabolic panel (calcium, ionized) <1% 143 $133.05
82248 <1% 685 $132.94
82977 <1% 498 $123.79
85610 <1% 206 $123.60
84479 <1% 324 $122.04
82627 <1% 29 $116.65
86376 <1% 64 $106.89
83615 <1% 476 $104.11
82677 <1% 27 $101.48
85730 <1% 109 $100.96
86800 <1% 80 $100.14
86360 <1% 13 $98.62
87147 <1% 151 $88.80
86038 <1% 150 $88.76
86704 <1% 98 $88.55
82785 <1% 44 $86.35
82652 <1% 100 $80.80
84100 <1% 462 $77.16
86336 <1% 27 $65.40
83735 <1% 145 $63.27
83516 <1% 29 $60.50
80076 <1% 94 $60.06
82565 <1% 61 $56.63
86235 <1% 13 $56.46
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 16 $56.28
82747 <1% 16 $54.51
86708 <1% 133 $52.00
82274 <1% 75 $50.07
82150 <1% 59 $47.60
82465 <1% 101 $43.87
83690 <1% 59 $43.38
88142 <1% 99 $42.52
86780 <1% 33 $41.67
87254 <1% 12 $41.06
82550 <1% 141 $40.98
81003 <1% 179 $39.95
82378 <1% 34 $39.80
82950 <1% 39 $34.86
86617 <1% 12 $32.52
84520 <1% 51 $31.88
85652 <1% 261 $31.13
86901 <1% 62 $25.12
84156 <1% 62 $23.10
84460 <1% 36 $20.84
82784 <1% 48 $19.52
82310 <1% 65 $19.06
86900 <1% 56 $18.84
86618 <1% 26 $17.87
85045 <1% 49 $16.76
86140 <1% 176 $16.29
87338 <1% 12 $15.10
84478 <1% 47 $14.89
86225 <1% 13 $14.42
86141 <1% 33 $13.58
83010 <1% 13 $13.20
86255 <1% 13 $12.65
87427 <1% 24 $12.58
86431 <1% 108 $11.90
86039 <1% 13 $11.71
84450 <1% 27 $10.86
87045 <1% 26 $9.91
87046 <1% 25 $9.91
82247 <1% 13 $9.42
82947 <1% 34 $2.91
83721 0% 56 $0.00
86200 0% 35 $0.00
86709 0% 28 $0.00
86334 0% 12 $0.00
83013 0% 14 $0.00
87209 0% 13 $0.00
87177 0% 13 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 0% 15 $0.00
86850 0% 12 $0.00
87650 0% 39 $0.00
86707 0% 42 $0.00
87350 0% 41 $0.00
84703 0% 14 $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 officialWHEELER, DARREN (VICE PRESIDENT)
Parent organizationAMERIPATH, INC
Same official

Other billing entities under WHEELER, DARREN

Full network →
ProviderLocationPaid
Colorado Pathology Consultants PCDenver, CO$13.20M
Ameripath New York LLCShelton, CT$7.70M
Ameripath New York LLCWhite Plains, NY$4.88M
Ameripath Hospital Services-Florida LLCFort Myers, FL$3.60M
Ameripath Florida LLCPompano Beach, FL$3.50M
Diagnostic Pathology Services, INC.Oklahoma City, OK$2.94M
Hoffman, MD, Associated Pathologists CharteredLas Vegas, NV$1.52M
Ameripath Cleveland INCTwinsburg, OH$749K
Ameripath Texas, INC.Lewisville, TX$712K
Institute for Dermatopathology, INC.Newtown Square, PA$636K
Ameripath Cincinnati INCCincinnati, OH$603K
Ameripath Lubbock 501A CorporationLubbock, TX$594K
Institute for Dermatopathology, INC.Pittsburgh, PA$522K
Ameripath Tucson INCTucson, AZ$514K
Ameripath Kentucky INCLexington, KY$458K
Ameripath Florida LLCFort Myers, FL$415K
Ameripath Florida LLCAltamonte Springs, FL$332K
Dermatopathology of Wisconsin SCBrookfield, WI$304K
Phenopath Laboratories PLLCSeattle, WA$279K
Ameripath Lubbock 501A CorporationLubbock, TX$186K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.