Physician
Tristate Pathology and Forensic Services LLC
Tristate Pathology and Forensic Services LLC was paid $192K by Medicaid between Apr 2018 and Oct 2024, across 4 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 87% of everything it billed.
33Billing provider infoTRISTATE PATHOLOGY AND FORENSIC SERVICES LLC
LAWRENCEBURG, IN 47025
LAWRENCEBURG, IN 47025
33aNPI1649720244assigned 10/06/2016
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$192K
24GClaims8,392
24DCodes billed4
24AFirst – last monthApr 2018 – Oct 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Indiana
Rank by total paid#16 of 38
Median peer was paid$72K
This provider vs. median2.7×
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 | 1,152 | $13K | |
| 2019 | 1,232 | $28K | |
| 2020 | 1,140 | $29K | |
| 2021 | 699 | $20K | |
| 2022 | 1,170 | $24K | |
| 2023 | 1,985 | $48K | |
| 2024incomplete | 1,014 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 87% | 6,929 | 5,233 | $167K |
| 88307 | 8.8% | 368 | 303 | $17K | |
| 88304 | 4.0% | 1,062 | 891 | $8K | |
| 88312 | <1% | 33 | 26 | $338.05 |
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 officialHEATON, GREGORY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Heaton, Heaton & Jay | Lawrenceburg, IN | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.