Pathos Clinical Solutions LLC
Pathos Clinical Solutions LLC was paid $15K by Medicaid between Feb 2019 and Aug 2020, across 55 billing codes. Its largest line is 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 — 20% of everything it billed.
KELLER, TX 76248
Next to other Clinical Medical Laboratory providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 30,898 | $9K | |
| 2020 | 21,647 | $6K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 20% | 247 | 236 | $3K |
| 80053 | Comprehensive metabolic panel | 8.4% | 5,521 | 4,154 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 5.6% | 3,736 | 2,400 | $813.91 |
| 87481 | 5.1% | 474 | 414 | $749.72 | |
| 84443 | Thyroid stimulating hormone (TSH) | 4.8% | 1,922 | 1,680 | $703.14 |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.9% | 2,058 | 1,735 | $575.10 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 3.5% | 724 | 622 | $506.55 |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | 3.4% | 433 | 388 | $498.65 |
| 87500 | 2.9% | 417 | 375 | $425.85 | |
| 87641 | 2.9% | 416 | 374 | $425.85 | |
| 87653 | 2.9% | 466 | 414 | $425.85 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 2.9% | 453 | 402 | $425.85 |
43 more codes
| G2024 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source | 2.8% | 75 | $413.77 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.7% | 464 | $389.45 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 2.7% | 396 | $389.45 |
| 87529 | 2.7% | 449 | $389.45 | |
| 87496 | 2.7% | 449 | $389.45 | |
| 80061 | Lipid panel | 2.6% | 1,547 | $380.08 |
| 87640 | 2.4% | 483 | $356.70 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 2.1% | 1,299 | $310.66 |
| 82607 | 2.0% | 476 | $286.08 | |
| 85027 | 1.9% | 3,043 | $272.28 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 1.4% | 666 | $203.80 |
| 83880 | 1.1% | 366 | $163.25 | |
| 80177 | 1.1% | 198 | $157.09 | |
| 80164 | <1% | 535 | $113.13 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 873 | $97.16 |
| 85610 | <1% | 1,026 | $80.42 | |
| 80185 | <1% | 124 | $74.22 | |
| 82746 | <1% | 92 | $54.92 | |
| 84134 | <1% | 216 | $49.04 | |
| 81001 | <1% | 464 | $37.83 | |
| 82747 | <1% | 34 | $32.34 | |
| 87184 | <1% | 163 | $31.23 | |
| 84439 | <1% | 201 | $23.58 | |
| 81002 | <1% | 660 | $17.52 | |
| 84153 | <1% | 35 | $17.17 | |
| 84480 | <1% | 51 | $14.71 | |
| 86141 | <1% | 24 | $13.42 | |
| 83735 | <1% | 112 | $11.88 | |
| 87400 | <1% | 44 | $11.28 | |
| 81003 | <1% | 96 | $9.65 | |
| 84436 | <1% | 67 | $7.12 | |
| 84479 | <1% | 46 | $6.70 | |
| 81000 | <1% | 133 | $6.59 | |
| P9604 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | <1% | 11,325 | $0.65 |
| 36415 | Collection of venous blood by venipuncture | 0% | 4,812 | $0.00 |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | 0% | 4,428 | $0.00 |
| 87556 | 0% | 14 | $0.00 | |
| 80069 | 0% | 14 | $0.00 | |
| 84482 | 0% | 54 | $0.00 | |
| 84100 | 0% | 45 | $0.00 | |
| 84550 | 0% | 49 | $0.00 | |
| 83540 | 0% | 16 | $0.00 | |
| 80076 | 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.