Physician
Highlands Pathology Consultants, P.C.
Highlands Pathology Consultants, P.C. was paid $1.04M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 48% of everything it billed.
33Billing provider infoHIGHLANDS PATHOLOGY CONSULTANTS, P.C.
KINGSPORT, TN 37660
KINGSPORT, TN 37660
33aNPI1669458634assigned 12/21/2005
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$1.04M
24GClaims37,953
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Tennessee
Rank by total paid#2 of 73
Median peer was paid$13K
This provider vs. median80×
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 | 6,938 | $146K | |
| 2019 | 6,407 | $223K | |
| 2020 | 3,992 | $125K | |
| 2021 | 5,916 | $178K | |
| 2022 | 5,285 | $133K | |
| 2023 | 4,581 | $112K | |
| 2024incomplete | 4,834 | $127K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 48% | 13,170 | 10,559 | $497K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 20% | 10,925 | 9,744 | $207K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 13% | 5,104 | 4,562 | $135K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 6.4% | 2,792 | 2,432 | $67K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 4.8% | 2,781 | 2,427 | $50K |
| 88342 | 4.2% | 1,401 | 1,168 | $44K | |
| 88307 | 2.2% | 251 | 236 | $23K | |
| 88341 | <1% | 263 | 178 | $10K | |
| 85060 | <1% | 915 | 806 | $4K | |
| 88304 | <1% | 198 | 183 | $3K | |
| 88141 | <1% | 71 | 66 | $2K | |
| 88300 | <1% | 70 | 68 | $1K |
1 more codes
| 88112 | <1% | 12 | $291.65 |
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 officialHELMS, KIMBERLY (MEDICAL DIRECTOR)