Physician
Pathology Consultants LLC
Pathology Consultants LLC was paid $2.41M by Medicaid between Jan 2018 and Dec 2024, across 99 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 63% of everything it billed.
33Billing provider infoPATHOLOGY CONSULTANTS LLC
YOUNGSTOWN, OH 44504
YOUNGSTOWN, OH 44504
33aNPI1548598626assigned 11/30/2009
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$2.41M
24GClaims135,226
24DCodes billed99
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Ohio
Rank by total paid#3 of 90
Median peer was paid$23K
This provider vs. median107×
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 | 35,163 | $284K | |
| 2019 | 19,366 | $390K | |
| 2020 | 25,394 | $366K | |
| 2021 | 17,829 | $394K | |
| 2022 | 17,820 | $379K | |
| 2023 | 11,005 | $339K | |
| 2024incomplete | 8,649 | $258K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 63% | 46,821 | 43,588 | $1.53M |
| 88307 | 20% | 9,148 | 8,784 | $481K | |
| 88342 | 5.3% | 6,679 | 6,340 | $129K | |
| 88304 | 3.8% | 13,130 | 12,520 | $91K | |
| 88141 | 2.1% | 2,683 | 2,554 | $50K | |
| 88112 | 1.4% | 2,721 | 2,381 | $33K | |
| 84165 | 1.1% | 3,224 | 2,882 | $27K | |
| 85576 | <1% | 1,449 | 1,065 | $14K | |
| 86334 | <1% | 1,484 | 1,256 | $13K | |
| 88312 | <1% | 856 | 759 | $10K | |
| 85060 | <1% | 979 | 904 | $9K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 15,811 | 4,687 | $7K |
87 more codes
| 88311 | <1% | 1,145 | $6K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,480 | $4K |
| 84166 | <1% | 380 | $3K | |
| 88108 | <1% | 125 | $1K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,535 | $1K |
| 88173 | <1% | 35 | $1K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 603 | $813.02 |
| 80061 | Lipid panel | <1% | 518 | $640.51 |
| 83880 | <1% | 82 | $256.00 | |
| 80053 | Comprehensive metabolic panel | <1% | 3,990 | $216.54 |
| 88302 | <1% | 31 | $158.92 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,332 | $126.72 |
| 80349 | <1% | 30 | $116.71 | |
| 88300 | <1% | 41 | $103.02 | |
| 86901 | <1% | 1,058 | $50.41 | |
| 86850 | <1% | 301 | $43.98 | |
| 87081 | <1% | 32 | $38.64 | |
| 84550 | <1% | 22 | $33.52 | |
| 82803 | <1% | 205 | $20.00 | |
| 81001 | <1% | 667 | $19.60 | |
| 83605 | <1% | 651 | $18.68 | |
| 85027 | <1% | 1,025 | $18.15 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 94 | $16.00 |
| 82103 | <1% | 123 | $13.82 | |
| 82962 | <1% | 2,370 | $12.30 | |
| 87807 | <1% | 171 | $12.00 | |
| 86900 | <1% | 1,060 | $6.07 | |
| 85610 | <1% | 434 | $4.04 | |
| 83735 | 0% | 512 | $0.00 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 320 | $0.00 |
| 86255 | 0% | 1,142 | $0.00 | |
| 86140 | 0% | 85 | $0.00 | |
| 85018 | 0% | 40 | $0.00 | |
| 84484 | 0% | 476 | $0.00 | |
| 87088 | 0% | 162 | $0.00 | |
| 83690 | 0% | 279 | $0.00 | |
| 86880 | 0% | 287 | $0.00 | |
| 82746 | 0% | 40 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 116 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 74 | $0.00 |
| 84436 | 0% | 16 | $0.00 | |
| 82105 | 0% | 270 | $0.00 | |
| 88720 | 0% | 80 | $0.00 | |
| 85651 | 0% | 87 | $0.00 | |
| 87077 | 0% | 36 | $0.00 | |
| 87040 | 0% | 153 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 336 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 58 | $0.00 |
| 85730 | 0% | 197 | $0.00 | |
| 87205 | 0% | 46 | $0.00 | |
| 82607 | 0% | 52 | $0.00 | |
| 82330 | 0% | 28 | $0.00 | |
| 83615 | 0% | 12 | $0.00 | |
| 82550 | 0% | 55 | $0.00 | |
| 82728 | 0% | 38 | $0.00 | |
| 84153 | 0% | 12 | $0.00 | |
| 83550 | 0% | 15 | $0.00 | |
| 86803 | 0% | 16 | $0.00 | |
| 82077 | 0% | 15 | $0.00 | |
| 82270 | 0% | 18 | $0.00 | |
| 81015 | 0% | 17 | $0.00 | |
| 80320 | 0% | 17 | $0.00 | |
| 87070 | 0% | 48 | $0.00 | |
| 87340 | 0% | 16 | $0.00 | |
| 82553 | 0% | 14 | $0.00 | |
| 86160 | 0% | 42 | $0.00 | |
| 81003 | 0% | 486 | $0.00 | |
| 84100 | 0% | 156 | $0.00 | |
| 82565 | 0% | 12 | $0.00 | |
| 84030 | 0% | 82 | $0.00 | |
| 81025 | 0% | 126 | $0.00 | |
| 84439 | 0% | 101 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 73 | $0.00 |
| 82570 | 0% | 20 | $0.00 | |
| 80076 | 0% | 74 | $0.00 | |
| 82247 | 0% | 53 | $0.00 | |
| 86765 | 0% | 16 | $0.00 | |
| 80179 | 0% | 30 | $0.00 | |
| 85014 | 0% | 41 | $0.00 | |
| 87075 | 0% | 17 | $0.00 | |
| 80143 | 0% | 32 | $0.00 | |
| 84145 | 0% | 32 | $0.00 | |
| 86256 | 0% | 12 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 43 | $0.00 |
| 86703 | 0% | 40 | $0.00 | |
| 83540 | 0% | 15 | $0.00 | |
| 84702 | 0% | 13 | $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 officialSHEETZ, KEVIN (MANAGER)