Physician
California Pathology Medical Group
California Pathology Medical Group was paid $47K by Medicaid between Jan 2018 and May 2022, across 45 billing codes. Its largest line is U0002, 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc — 26% of everything it billed.
33Billing provider infoCALIFORNIA PATHOLOGY MEDICAL GROUP
PLEASANTON, CA 94588
PLEASANTON, CA 94588
33aNPI1477582161assigned 07/03/2006
33bProvider typeAnatomic Pathology Physician
28Total paid$47K
24GClaims32,297
24DCodes billed45
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Anatomic Pathology Physician providers in California
Rank by total paid#7 of 19
Median peer was paid$10K
This provider vs. median4.7×
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 | 10,407 | $6K | |
| 2019 | 8,209 | $7K | |
| 2020 | 5,876 | $23K | |
| 2021 | 6,051 | $9K | |
| 2022 | 1,754 | $919.27 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 26% | 240 | 235 | $12K |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | 12% | 150 | 143 | $5K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 8.8% | 30 | 30 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 8.1% | 7,714 | 5,750 | $4K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 7.1% | 22 | 22 | $3K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 3.2% | 400 | 386 | $1K |
| 87631 | 3.0% | 280 | 269 | $1K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.8% | 61 | 58 | $1K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.6% | 309 | 306 | $1K |
| 83880 | 2.3% | 574 | 476 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.2% | 20 | 19 | $1K |
| 83735 | 2.0% | 2,186 | 1,229 | $939.45 |
33 more codes
| 85027 | 2.0% | 2,536 | $937.19 | |
| 84484 | 1.8% | 1,845 | $847.05 | |
| 81001 | 1.5% | 2,783 | $701.91 | |
| 84703 | 1.5% | 1,494 | $679.88 | |
| 87040 | 1.4% | 848 | $641.24 | |
| 82553 | 1.2% | 914 | $565.98 | |
| 83690 | 1.1% | 1,587 | $534.32 | |
| 87641 | 1.1% | 187 | $530.02 | |
| 87088 | <1% | 844 | $400.81 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 385 | $399.68 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 138 | $279.68 |
| 86901 | <1% | 1,137 | $279.24 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 137 | $279.11 |
| 83605 | <1% | 449 | $278.17 | |
| 86900 | <1% | 1,037 | $244.51 | |
| 86880 | <1% | 250 | $232.56 | |
| 85610 | <1% | 975 | $177.67 | |
| 87070 | <1% | 215 | $173.32 | |
| 85379 | <1% | 225 | $157.45 | |
| 80053 | Comprehensive metabolic panel | <1% | 216 | $127.94 |
| 87186 | <1% | 195 | $111.55 | |
| 84100 | <1% | 399 | $102.86 | |
| 82948 | <1% | 117 | $88.02 | |
| 85730 | <1% | 259 | $87.78 | |
| 86850 | <1% | 589 | $81.07 | |
| 82803 | <1% | 49 | $68.71 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 148 | $66.69 |
| 87077 | <1% | 99 | $51.23 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 80 | $50.23 |
| 85007 | <1% | 133 | $41.46 | |
| 80061 | Lipid panel | <1% | 14 | $16.87 |
| 87205 | <1% | 15 | $5.52 | |
| 87210 | <1% | 12 | $0.71 |
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 officialENFIELD, DAVID (MANAGING PARTNER)