Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Clinical Pathology/Laboratory Medicine Physician

195 providers registered as Clinical Pathology/Laboratory Medicine Physician were paid $259.45M by Medicaid from 2018 through 2024.

28Total paid$259.45M
33Providers195
24GClaims19,437,309
NUCC code207ZP0105XAllopathic & Osteopathic Physicians
Box 32 · Location

By state

  1. ILIllinois
    $59M
  2. MNMinnesota
    $43M
  3. PRPuerto Rico
    $28M
  4. COColorado
    $22M
  5. CACalifornia
    $20M
  6. INIndiana
    $15M
  7. OHOhio
    $13M
  8. PAPennsylvania
    $8.8M
  9. MIMichigan
    $6.2M
  10. NYNew York
    $5.7M
  11. TXTexas
    $5.6M
  12. SCSouth Carolina
    $5.4M
All 40 states
IL$59MMN$43MPR$28MCO$22MCA$20MIN$15MOH$13MPA$8.8MMI$6.2MNY$5.7MTX$5.6MSC$5.4MUT$4.6MMS$3.7MAZ$3.0MMD$2.8MKY$2.7MIA$2.3MMA$1.5MWI$1.5MNJ$1.4MFL$1.3MDE$1.0MNC$683KAR$424KNE$424KKS$237KWA$107KAL$80KNH$70KTN$48KME$26KMO$14KVT$6.9KND$6.7KWV$4.4KNV$1.4KCT$1.4KLA$0MT$0
Box 24 · Service lines

What they bill for

  1. 88305Level IV - Surgical pathology, gross and microscopic examination
    $29M
  2. 99285Emergency room visit (most serious)
    $18M
  3. 99214Doctor's office visit, returning patient (more involved)
    $14M
  4. G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed
    $13M
  5. 99284Emergency room visit (serious)
    $12M
  6. 99283Emergency room visit (moderate)
    $12M
  7. 99213Doctor's office visit, returning patient (routine)
    $9.6M
  8. 88307
    $8.0M
  9. U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r
    $7.4M
  10. 80053Comprehensive metabolic panel
    $5.7M
Ranked

Top providers

#ProviderLocationClaimsPaid
1 Fairview Health Services Burnsville, MN 333,766 $29.98M
2 Perlman, Elizabeth Chicago, IL 2,351,964 $20.05M
3 Southern Pathology Services, INC. Ponce, PR 348,318 $18.95M
4 Fiorella, Russell Chicago, IL 2,660,240 $17.31M
5 American Health Network of Indiana, LLC Indianapolis, IN 614,559 $15.33M
6 Rocky Mountain Clinics LLC Fort Collins, CO 77,557 $13.08M
7 Retzinger, Gregory Cincinnati, OH 3,355,995 $12.99M
8 Fairview Health Services Princeton, MN 103,953 $9.36M
9 UCSF Department of Laboratory Medicine San Francisco, CA 1,879,958 $9.04M
10 Campbell-Lee, Sally Chicago, IL 1,089,653 $8.76M
11 Puerto Rico Pathology Associates P San Juan, PR 90,005 $6.78M
12 Arkansas Valley Regional Medical Center La Junta, CO 159,107 $6.54M
13 University Medical Associates of the Medical University of South Carol Charleston, SC 281,288 $5.38M
14 Great Lakes Physician, PC Cheektowaga, NY 177,833 $5.14M
15 Henry Ford Health System Detroit, MI 152,143 $4.76M
16 Uckerman, Mary Melrose Park, IL 614,498 $4.20M
17 Magnolia Diagnostics, LLC Dallas, TX 133,221 $3.68M
18 Ryan K Anderson D P M P C Bountiful, UT 83,151 $3.51M
19 SCVRH LLC Green Valley, AZ 65,554 $2.84M
20 University Pathologists, PSC Louisville, KY 481,993 $2.72M
21 Greenwood Leflore Hospital Greenwood, MS 59,218 $2.72M
22 Los Palos Gastroenterology Specialists INC Salinas, CA 34,017 $2.56M
23 Valley Diagnostics INC Fresno, CA 413,573 $2.51M
24 Schulz, Rex Quincy, IL 537,493 $2.40M
25 Nexgen Labs INC Elgin, IL 43,360 $2.11M
26 Kaushik, Vidhu Rochester, MN 237,993 $1.90M
27 Centro De Patologia Avanzada De PR CSP Bayamon, PR 26,502 $1.85M
28 Arkansas Valley Regional Medical Center La Junta, CO 34,500 $1.80M
29 Cedar Valley Pathologists PC Cedar Rapids, IA 147,196 $1.76M
30 Regents of the University of Ca Sacramento, CA 47,058 $1.60M
31 Saint Paul Place Specialists, INC. Baltimore, MD 24,880 $1.51M
32 Pratt Pathology Associates, INC Boston, MA 57,246 $1.47M
33 Geisinger Clinic Danville, PA 38,758 $1.46M
34 ST Cloud Pathologists PA St Cloud, MN 30,551 $1.40M
35 California Pacific Pathology Medical Group San Francisco, CA 35,552 $1.34M
36 Iha Health Services Corporation Ann Arbor, MI 43,801 $1.26M
37 Karel Raska JR MD - Modern Diagnostics New Brunswick, NJ 113,851 $1.24M
38 Pathology Associates of South Miami South Miami, FL 467,650 $1.19M
39 Geisinger Clinic Tunkhannock, PA 30,409 $1.11M
40 Associates of Pathology, P.C. Ogden, UT 57,950 $1.05M
41 Doctors Pathology Services, PA Dover, DE 42,480 $1.03M
42 Stirbl, James Costa Mesa, CA 80,469 $997K
43 Geisinger Clinic Orwigsburg, PA 27,096 $974K
44 ST Paul Place Specialists, INC. Baltimore, MD 21,716 $949K
45 Geisinger Clinic Pittston, PA 24,885 $942K
46 Geisinger Clinic Berwick, PA 24,882 $896K
47 Associated Pathologists, SC Madison, WI 27,989 $895K
48 Kampmeier, Patricia Libertyville, IL 150,282 $724K
49 Al-Masri, Hytham Tinley Park, IL 149,587 $649K
50 Professional Pathology Associates Biloxi, MS 17,907 $611K
51 Texas Tech University Health Sciences Center Lubbock Lubbock, TX 18,215 $606K
52 Matrix Diagnostics INC Glendale, CA 17,549 $588K
53 South Texas Pathology Associates LLP San Antonio, TX 13,572 $567K
54 Wiley, Elizabeth Chicago, IL 9,274 $563K
55 Saint Agnes Pathology Medical Group Fresno, CA 641,524 $563K
56 Geisinger Clinic Lewisburg, PA 16,889 $557K
57 Mandal, Rakesh Madison, WI 76,556 $548K
58 Intermountain Pathologists PC Montrose, CO 10,123 $542K
59 Bhaskar, Renuka Bloomington, IL 6,462 $531K
60 Geisinger Clinic Mountain Top, PA 14,851 $523K
61 Clinical Pathology Associates, PC Waterloo, IA 12,424 $498K
62 Geisinger Clinic Frackville, PA 13,484 $479K
63 Geisinger Clinic Milton, PA 13,934 $457K
64 Twin Tier Pathology Associates, PC Binghamton, NY 7,522 $435K
65 Valencia, MD & Sanchez, MD PA Mcallen, TX 25,465 $427K
66 Paterson Diagnostics INC Little Rock, AR 8,331 $424K
67 Pathology Services, P.C. North Platte, NE 54,136 $424K
68 Caromont Medical Group INC Gastonia, NC 12,176 $421K
69 Los Palos Gastroenterology INC Salinas, CA 5,617 $394K
70 Laboratory RX, LLC Frederick, MD 3,097 $367K
71 Ying, Shan-Ching Chicago, IL 8,991 $307K
72 Lancaster General Hospital Lancaster, PA 9,555 $299K
73 Melahn, Robyn Elgin, IL 46,010 $295K
74 Patil, Jyothi Aurora, IL 9,542 $276K
75 Melin Aldana, Hector Chicago, IL 5,846 $271K
76 Private Diagnostic Clinic, PLLC Durham, NC 10,439 $262K
77 Geisinger Clinic Danville, PA 6,113 $251K
78 Main Line Pathology Associates, PC Bryn Mawr, PA 7,771 $217K
79 Singing River Pathology PLLC Pascagoula, MS 7,448 $207K
80 Henry Ford Macomb Hospital Corporation Clinton Township, MI 2,834 $196K
81 Wesley Pathology Consultants PA Wichita, KS 5,595 $164K
82 Regional Pathology Services INC Kettering, OH 8,575 $162K
83 Desert Pathology Medical Group, INC. Palm Springs, CA 27,132 $162K
84 Wellbeing Institute Tucson, AZ 1,744 $151K
85 Shinde, Anjali Chicago, IL 4,804 $145K
86 Wyoming Valley Pathology Associates Wilkes Barre, PA 4,804 $144K
87 Regional Pathologists PC Englewood Cliffs, NJ 3,367 $140K
88 Xu, Haoliang Chicago, IL 3,196 $138K
89 Langhorne Pathology Associates PC Langhorne, PA 5,082 $126K
90 Siddiqui, Norman Chicago, IL 3,704 $123K
91 Brazos Valley Pathology, PLLC Bryan, TX 8,127 $122K
92 Lebanon Pathology Associates Lebanon, PA 3,808 $120K
93 Medagene Clinic , P.A. Houston, TX 3,956 $116K
94 Ephrata Community Hospital Ephrata, PA 2,748 $107K
95 Musunuri, Srinidhi Libertyville, IL 3,180 $104K
96 Kleynerman, Lana Uniondale, NY 5,170 $89K
97 Beaumont Pathology Associates PA Beaumont, TX 2,283 $88K
98 Schindler, Susanne Berwyn, IL 4,045 $85K
99 Lucas, Marsha Greenwood, MS 3,734 $85K
100 Valley Pathology, L.L.C. Decatur, AL 6,695 $80K