Potomac Highlands Pathology Associates PA
Potomac Highlands Pathology Associates PA was paid $468K by Medicaid between Jan 2018 and Aug 2024, across 6 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 95% of everything it billed.
33Billing provider infoPOTOMAC HIGHLANDS PATHOLOGY ASSOCIATES PA
CUMBERLAND, MD 21502
CUMBERLAND, MD 21502
33aNPI1801907035assigned 08/31/2006
33bProvider typePathology Specialist/Technologist
28Total paid$468K
24GClaims10,704
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2024
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 | 708 | $44K | |
| 2019 | 645 | $28K | |
| 2020 | 1,992 | $74K | |
| 2021 | 2,210 | $98K | |
| 2022 | 2,012 | $92K | |
| 2023 | 2,056 | $82K | |
| 2024incomplete | 1,081 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 95% | 9,807 | 8,445 | $447K |
| 88307 | 2.2% | 193 | 167 | $10K | |
| 88304 | 1.4% | 483 | 427 | $7K | |
| 88342 | <1% | 163 | 151 | $4K | |
| 84165 | <1% | 43 | 40 | $246.24 | |
| 88311 | <1% | 15 | 14 | $86.31 |
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 officialDUSENBERY, DAVID (PRESIDENT)