Physician
East Coast Pathology Associates, PA
East Coast Pathology Associates, PA was paid $78K by Medicaid between Aug 2021 and Nov 2024, across 50 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 22% of everything it billed.
33Billing provider infoEAST COAST PATHOLOGY ASSOCIATES, PA
HIALEAH, FL 33013
HIALEAH, FL 33013
33aNPI1528632783assigned 05/13/2021
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$78K
24GClaims65,005
24DCodes billed50
24AFirst – last monthAug 2021 – Nov 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Florida
Rank by total paid#85 of 207
Median peer was paid$39K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2021 | 1,342 | $2K | |
| 2022 | 9,200 | $12K | |
| 2023 | 32,129 | $41K | |
| 2024incomplete | 22,334 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 22% | 1,653 | 1,577 | $17K |
| 80053 | Comprehensive metabolic panel | 16% | 7,209 | 3,601 | $12K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 12% | 199 | 178 | $9K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 6.5% | 9,686 | 4,737 | $5K |
| 87040 | 4.0% | 870 | 744 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.6% | 1,633 | 1,556 | $3K |
| 84702 | 3.5% | 763 | 667 | $3K | |
| 80048 | Basic metabolic panel (calcium, ionized) | 3.3% | 2,489 | 1,727 | $3K |
| 84484 | 3.2% | 2,105 | 1,569 | $3K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.0% | 445 | 414 | $2K |
| 81025 | 1.9% | 2,553 | 2,391 | $2K | |
| 82803 | 1.8% | 340 | 139 | $1K |
38 more codes
| 82962 | 1.8% | 5,150 | $1K | |
| 83735 | 1.8% | 3,327 | $1K | |
| 85379 | 1.7% | 125 | $1K | |
| 80320 | 1.4% | 420 | $1K | |
| U0004 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r | <1% | 120 | $752.40 |
| 84100 | <1% | 3,198 | $715.22 | |
| 82550 | <1% | 681 | $709.49 | |
| 87186 | <1% | 658 | $654.76 | |
| 88307 | <1% | 12 | $628.68 | |
| 84703 | <1% | 224 | $622.95 | |
| 83605 | <1% | 903 | $597.93 | |
| 87070 | <1% | 961 | $584.96 | |
| 87077 | <1% | 327 | $555.89 | |
| 83690 | <1% | 1,328 | $552.45 | |
| 81001 | <1% | 2,821 | $543.09 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 695 | $509.62 |
| 85730 | <1% | 1,474 | $492.26 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,369 | $478.19 |
| 85610 | <1% | 1,762 | $378.41 | |
| 82805 | <1% | 75 | $373.68 | |
| 86850 | <1% | 506 | $138.53 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 17 | $118.05 |
| 81003 | <1% | 703 | $100.87 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 5,568 | $99.78 |
| 88304 | <1% | 13 | $83.10 | |
| 85027 | <1% | 333 | $79.65 | |
| 87147 | <1% | 15 | $74.80 | |
| 85007 | <1% | 338 | $65.74 | |
| 87205 | <1% | 226 | $50.23 | |
| 86901 | <1% | 515 | $41.36 | |
| 86900 | <1% | 513 | $38.61 | |
| 80202 | <1% | 29 | $27.78 | |
| 82728 | <1% | 36 | $27.36 | |
| 83550 | <1% | 31 | $17.94 | |
| 83540 | <1% | 33 | $11.18 | |
| 86140 | <1% | 37 | $8.10 | |
| 83880 | <1% | 500 | $5.69 | |
| 80076 | <1% | 17 | $1.22 |
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 officialBAKER, SUSAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| East Coast Pathology Associates, PA | Miami, FL | $2.66M |
| East Coast Pathology Associates, PA | Fort Lauderdale, FL | $160K |
| Dentures & Dental Care of Lander, LLC | Lander, WY | $14K |
| Region Vii MH MR Commission | Starkville, MS | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.