Upstate Empire Pathology PLLC

Upstate Empire Pathology PLLC was paid $137K by Medicaid between Jan 2018 and Aug 2020, across 5 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 80% of everything it billed.

33Billing provider infoUPSTATE EMPIRE PATHOLOGY PLLC
TROY, NY 12180

33aNPI1598194821assigned 11/07/2013

33bProvider typeAnatomic Pathology & Clinical Pathology Physician

28Total paid$137K

24GClaims4,204

24DCodes billed5

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in New York

Rank by total paid#36 of 94

Median peer was paid$46K

This provider vs. median3.0×

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
2018	1,305	$37K
2019	1,766	$58K
2020	1,133	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
88305	Level IV - Surgical pathology, gross and microscopic examination	80%	2,879	2,722	$109K
88342		18%	1,110	1,110	$25K
84165		1.3%	158	152	$2K
88307		<1%	26	25	$1K
88304		<1%	31	31	$384.40

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 officialELDEIRY, DALIA (SOLE MEMBER)