Physician
The Pathology Group PC
The Pathology Group PC was paid $380K by Medicaid between Jan 2018 and Dec 2024, across 95 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 25% of everything it billed.
33Billing provider infoTHE PATHOLOGY GROUP PC
MEMPHIS, TN 38119
MEMPHIS, TN 38119
33aNPI1679547749assigned 02/15/2006
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$380K
24GClaims159,135
24DCodes billed95
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in Tennessee
Rank by total paid#8 of 73
Median peer was paid$13K
This provider vs. median29×
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 | 85,461 | $40K | |
| 2019 | 27,501 | $62K | |
| 2020 | 9,747 | $57K | |
| 2021 | 9,566 | $53K | |
| 2022 | 9,726 | $60K | |
| 2023 | 10,638 | $66K | |
| 2024incomplete | 6,496 | $41K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 25% | 9,793 | 5,955 | $94K |
| 80503 | 23% | 18,013 | 10,914 | $87K | |
| 80500 | 21% | 22,264 | 15,856 | $80K | |
| 85060 | 15% | 11,394 | 9,147 | $55K | |
| 88307 | 13% | 1,992 | 1,390 | $50K | |
| 88342 | 2.0% | 922 | 576 | $8K | |
| 88304 | <1% | 601 | 432 | $2K | |
| 84165 | <1% | 185 | 115 | $653.70 | |
| 88302 | <1% | 128 | 55 | $469.37 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 4,115 | 699 | $468.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 5,652 | 1,750 | $317.34 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 8,761 | 4,846 | $227.13 |
83 more codes
| 88311 | <1% | 134 | $202.50 | |
| 80053 | Comprehensive metabolic panel | <1% | 5,539 | $189.01 |
| 85027 | <1% | 5,255 | $183.30 | |
| 84484 | <1% | 3,646 | $180.44 | |
| 86334 | <1% | 37 | $133.67 | |
| 88112 | <1% | 18 | $131.58 | |
| 83735 | <1% | 2,441 | $108.04 | |
| 87040 | <1% | 1,902 | $90.00 | |
| 83880 | <1% | 936 | $74.10 | |
| 82947 | <1% | 6,338 | $72.22 | |
| 82962 | <1% | 9,236 | $70.76 | |
| 83605 | <1% | 1,612 | $70.05 | |
| 80047 | <1% | 2,422 | $53.46 | |
| 85730 | <1% | 2,299 | $49.97 | |
| 80069 | <1% | 434 | $45.48 | |
| 84100 | <1% | 1,458 | $43.47 | |
| 80202 | <1% | 375 | $41.37 | |
| 80061 | Lipid panel | <1% | 618 | $40.95 |
| 87088 | <1% | 820 | $35.40 | |
| 81001 | <1% | 4,969 | $33.12 | |
| 84702 | <1% | 536 | $32.90 | |
| 85610 | <1% | 2,573 | $30.96 | |
| 87186 | <1% | 535 | $30.17 | |
| 82330 | <1% | 175 | $29.85 | |
| 84703 | <1% | 1,126 | $29.52 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 593 | $21.20 |
| 87077 | <1% | 513 | $21.13 | |
| 86920 | <1% | 566 | $21.12 | |
| 81025 | <1% | 1,645 | $18.24 | |
| 85379 | <1% | 432 | $17.76 | |
| 86850 | <1% | 568 | $17.25 | |
| 82550 | <1% | 298 | $17.04 | |
| 86900 | <1% | 1,433 | $16.63 | |
| 86901 | <1% | 1,434 | $15.33 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 703 | $14.66 |
| 80076 | <1% | 571 | $14.28 | |
| 82607 | <1% | 265 | $13.16 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 100 | $12.92 |
| 82746 | <1% | 250 | $12.82 | |
| 83690 | <1% | 1,292 | $12.04 | |
| 86703 | <1% | 233 | $11.96 | |
| 82728 | <1% | 190 | $11.90 | |
| 84132 | <1% | 277 | $10.05 | |
| 85018 | <1% | 343 | $9.35 | |
| 86886 | <1% | 358 | $9.04 | |
| 83540 | <1% | 240 | $8.49 | |
| 85014 | <1% | 565 | $7.18 | |
| 86140 | <1% | 79 | $6.78 | |
| 82248 | <1% | 158 | $5.70 | |
| 82247 | <1% | 603 | $5.70 | |
| 86880 | <1% | 207 | $5.59 | |
| 82565 | <1% | 279 | $4.48 | |
| 83550 | <1% | 208 | $3.82 | |
| 87070 | <1% | 241 | $3.76 | |
| 85045 | <1% | 174 | $3.50 | |
| 83615 | <1% | 189 | $2.64 | |
| 82570 | <1% | 129 | $2.26 | |
| 84300 | <1% | 43 | $2.12 | |
| 85651 | <1% | 92 | $1.55 | |
| 85007 | <1% | 26 | $1.49 | |
| 85008 | <1% | 46 | $1.49 | |
| 80074 | 0% | 116 | $0.00 | |
| 84156 | 0% | 76 | $0.00 | |
| 87210 | 0% | 169 | $0.00 | |
| 84550 | 0% | 203 | $0.00 | |
| 87400 | 0% | 1,104 | $0.00 | |
| 86705 | 0% | 52 | $0.00 | |
| 82009 | 0% | 29 | $0.00 | |
| 84439 | 0% | 265 | $0.00 | |
| 83970 | 0% | 133 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 308 | $0.00 |
| 82140 | 0% | 195 | $0.00 | |
| 87081 | 0% | 479 | $0.00 | |
| 87205 | 0% | 438 | $0.00 | |
| 87147 | 0% | 303 | $0.00 | |
| 87810 | 0% | 153 | $0.00 | |
| 87340 | 0% | 137 | $0.00 | |
| 84134 | 0% | 32 | $0.00 | |
| 82150 | 0% | 40 | $0.00 | |
| 86592 | 0% | 145 | $0.00 | |
| 86706 | 0% | 102 | $0.00 | |
| 87184 | 0% | 44 | $0.00 | |
| 87493 | 0% | 15 | $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 officialHERALD, JAMES (BILLING MANAGER)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.