Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Santa Maria › NPI 1942549068
Physician

Diagnostic Pathology Services of the Central Coast

Diagnostic Pathology Services of the Central Coast was paid $2.11M by Medicaid between Jan 2018 and Oct 2024, across 48 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 53% of everything it billed.

33Billing provider infoDIAGNOSTIC PATHOLOGY SERVICES OF THE CENTRAL COAST
SANTA MARIA, CA 93454
33aNPI1942549068assigned 02/08/2013
28Total paid$2.11M
24GClaims68,515
24DCodes billed48
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in California

Rank by total paid#21 of 222
Median peer was paid$42K
This provider vs. median50×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20182,859$120K
20194,503$212K
20209,984$327K
202125,028$372K
202212,116$312K
20237,621$419K
2024incomplete6,404$351K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
88305 Level IV - Surgical pathology, gross and microscopic examination 53% 19,655 17,952 $1.12M
88307 22% 5,992 5,918 $463K
88304 6.8% 5,384 5,212 $144K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6.7% 8,678 7,661 $142K
88342 5.5% 3,134 2,941 $116K
88341 2.7% 1,110 946 $57K
88300 <1% 1,605 1,576 $12K
88312 <1% 333 300 $9K
88189 <1% 148 141 $8K
88302 <1% 261 253 $7K
80048 Basic metabolic panel (calcium, ionized) <1% 2,738 1,636 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 2,521 2,306 $4K
36 more codes
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 809 $3K
84484 <1% 1,131 $2K
81001 <1% 4,431 $2K
88141 <1% 205 $2K
80055 <1% 242 $2K
84145 <1% 381 $2K
87040 <1% 865 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 721 $1K
85060 <1% 139 $1K
87660 <1% 375 $1K
83550 <1% 693 $1K
88112 <1% 60 $1K
86140 <1% 987 $883.12
85378 <1% 449 $717.73
85007 <1% 1,057 $685.27
87070 <1% 406 $613.16
80076 <1% 379 $533.64
88313 <1% 12 $493.64
86885 <1% 483 $478.71
81003 <1% 966 $379.52
88311 <1% 66 $378.65
85651 <1% 442 $319.97
86900 <1% 551 $283.15
85097 <1% 12 $271.46
82565 <1% 181 $166.40
82010 <1% 115 $158.72
80074 <1% 14 $130.25
82950 <1% 142 $117.76
85018 <1% 269 $110.44
84100 <1% 130 $98.72
86704 <1% 39 $81.73
82043 <1% 75 $74.67
84550 <1% 74 $57.82
84450 <1% 29 $26.39
84703 <1% 13 $16.76
85044 <1% 13 $9.60

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 officialFERGUSON, KEVIN (PRESIDENT)
Same official

Other billing entities under FERGUSON, KEVIN

Full network →
ProviderLocationPaid
Western Diagnostic Services Laboratory, LLCSanta Maria, CA$48K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.