Lab
Piedmont Pathology Associates INC
Piedmont Pathology Associates INC was paid $915K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 71% of everything it billed.
33Billing provider infoPIEDMONT PATHOLOGY ASSOCIATES INC
HICKORY, NC 28602
HICKORY, NC 28602
33aNPI1922004852assigned 06/24/2005
33bProvider typeClinical Medical Laboratory
28Total paid$915K
24GClaims27,550
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in North Carolina
Rank by total paid#44 of 128
Median peer was paid$268K
This provider vs. median3.4×
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 | 4,469 | $114K | |
| 2019 | 4,112 | $118K | |
| 2020 | 3,216 | $110K | |
| 2021 | 4,716 | $99K | |
| 2022 | 4,423 | $185K | |
| 2023 | 3,603 | $165K | |
| 2024incomplete | 3,011 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 71% | 18,360 | 11,684 | $648K |
| 88307 | 23% | 4,550 | 3,160 | $211K | |
| 88304 | 4.5% | 3,001 | 2,233 | $41K | |
| 88342 | <1% | 227 | 138 | $9K | |
| 88302 | <1% | 790 | 422 | $3K | |
| 88112 | <1% | 88 | 50 | $3K | |
| 88311 | <1% | 22 | 12 | $97.26 | |
| 80053 | Comprehensive metabolic panel | 0% | 170 | 12 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 208 | 15 | $0.00 |
| 81001 | 0% | 134 | 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 officialMATHIS, KAREN (BUSINESS ADMINISTRATOR)