Physician
Hampton Roads Clinical Pathology PLLC
Hampton Roads Clinical Pathology PLLC was paid $41K by Medicaid between Jan 2018 and Nov 2024, across 45 billing codes. Its largest line is 85025, Blood count; complete (CBC), automated, and automated differential WBC count — 23% of everything it billed.
33Billing provider infoHAMPTON ROADS CLINICAL PATHOLOGY PLLC
CHESAPEAKE, VA 23320
CHESAPEAKE, VA 23320
33aNPI1417254814assigned 02/21/2011
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$41K
24GClaims45,591
24DCodes billed45
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Virginia
Rank by total paid#21 of 63
Median peer was paid$6K
This provider vs. median6.7×
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 | 3,732 | $3K | |
| 2019 | 10,890 | $10K | |
| 2020 | 8,155 | $7K | |
| 2021 | 9,320 | $13K | |
| 2022 | 5,917 | $6K | |
| 2023 | 3,732 | $898.13 | |
| 2024incomplete | 3,845 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 23% | 11,102 | 6,334 | $9K |
| 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 | 13% | 353 | 304 | $5K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 12% | 412 | 355 | $5K |
| 83735 | 7.6% | 1,724 | 652 | $3K | |
| 84443 | Thyroid stimulating hormone (TSH) | 5.3% | 2,196 | 1,732 | $2K |
| 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 | 5.1% | 152 | 140 | $2K |
| 83690 | 3.4% | 1,199 | 887 | $1K | |
| 81003 | 3.0% | 3,997 | 3,160 | $1K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 2.6% | 715 | 582 | $1K |
| 86901 | 2.5% | 1,369 | 1,111 | $1K | |
| 85610 | 2.4% | 793 | 394 | $996.03 | |
| 84484 | 2.2% | 774 | 532 | $902.69 |
33 more codes
| 85027 | 2.1% | 719 | $857.61 | |
| 83605 | 1.9% | 350 | $798.00 | |
| 80061 | Lipid panel | 1.8% | 2,237 | $745.75 |
| 80053 | Comprehensive metabolic panel | 1.6% | 6,089 | $669.17 |
| 82948 | 1.5% | 977 | $635.20 | |
| 87040 | 1.4% | 185 | $586.80 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.4% | 1,971 | $586.69 |
| 86900 | <1% | 1,369 | $384.36 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,387 | $351.39 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 3,041 | $349.87 |
| 87210 | <1% | 172 | $323.18 | |
| 80050 | General health panel | <1% | 12 | $221.52 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 13 | $180.00 |
| 87806 | <1% | 15 | $178.76 | |
| 84439 | <1% | 464 | $154.34 | |
| 84030 | <1% | 129 | $141.12 | |
| 85014 | <1% | 448 | $98.03 | |
| 82607 | <1% | 52 | $80.86 | |
| 86880 | <1% | 14 | $49.14 | |
| 87070 | <1% | 31 | $47.34 | |
| 81025 | <1% | 698 | $46.27 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 13 | $44.82 |
| 87205 | <1% | 16 | $25.44 | |
| 85379 | <1% | 20 | $19.36 | |
| 86970 | <1% | 13 | $15.00 | |
| 80047 | <1% | 79 | $9.89 | |
| 86592 | <1% | 30 | $9.66 | |
| 83540 | <1% | 29 | $8.40 | |
| 80076 | 0% | 56 | $0.00 | |
| 83655 | 0% | 28 | $0.00 | |
| 86885 | 0% | 88 | $0.00 | |
| 85018 | 0% | 40 | $0.00 | |
| 86803 | 0% | 20 | $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 officialJACOBS, LIONEL (PRESIDENT)