Physician
Ideal Pathology Associates, LLC
Ideal Pathology Associates, LLC was paid $718K by Medicaid between Jan 2018 and Feb 2023, across 8 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 55% of everything it billed.
33Billing provider infoIDEAL PATHOLOGY ASSOCIATES, LLC
WAYNE, NJ 07470
WAYNE, NJ 07470
33aNPI1831589738assigned 01/29/2015
33bProvider typeAnatomic Pathology & Clinical Pathology Physician
28Total paid$718K
24GClaims15,315
24DCodes billed8
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Anatomic Pathology & Clinical Pathology Physician providers in New Jersey
Rank by total paid#13 of 46
Median peer was paid$65K
This provider vs. median11×
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 | 1,721 | $140K | |
| 2019 | 1,418 | $94K | |
| 2020 | 2,265 | $185K | |
| 2021 | 4,203 | $173K | |
| 2022 | 5,442 | $117K | |
| 2023 | 266 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 55% | 8,233 | 7,255 | $392K |
| 88341 | 29% | 1,637 | 1,570 | $206K | |
| 88342 | 11% | 3,793 | 3,408 | $78K | |
| 88312 | 4.4% | 985 | 923 | $31K | |
| 88313 | 1.3% | 608 | 546 | $10K | |
| 88304 | <1% | 12 | 12 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 19 | 18 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 28 | 28 | $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 officialESPINAL-MARIOTTE, JOSE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Ideal Labs, LLC | Wayne, NJ | $17K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.