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Market snapshot

88305 in CO CY2024

Medicare Part B FFS · CY2024 · as published by CMS

88305 — Pathology examination of tissue using a microscope, intermediate complexity

Billing groups
58
Named-group FFS services
183,211
FFS of Medicare
47%
Services YoY
-1.5%
FFS enrollment -1.0%
Estimated all-Medicare volume FFS + estimated MA estimate
~382,638 services

183,211 observed fee-for-service (48%) · ~199,427 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Named-group submitted charges
$27.0M
Named-group allowed amount
$8.5M
Named-group Medicare payments
$6.3M
Avg charge / svc
$147
Avg allowed / svc
$46
Avg payment / svc
$34
Average charge per group
$57 58 groups · avg submitted charge / service $333
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Specialty market — Pathology: 85,459 services across 19 groups; top group 48%. See Pathology across all states →

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Data year: CY2024 CY2023 CY2022 🔒 CY2021 🔒 CY2020 🔒
Physician groups ranked by 88305 services, CY2024
#Physician group City Specialty Providers 88305 svcs Submitted charges Avg charge Medicare $ locked column Share of specialty*Share of state* Phone
1 SUMMIT PATHOLOGY LOVELAND PATHOLOGY 26 41,372 $5,407,210 $131 premium 48.4% 16.7% (970) 212-0530
2 RICHARD BERNERT LLC PHOENIX PATHOLOGY 7 11,684 $1,750,840 $150 premium 13.7% 4.7% (480) 275-2494
3 MOUNTAIN STATES PATHOLOGY PC COLORADO SPRINGS PATHOLOGY 16 7,619 $1,546,174 $203 premium 8.9% 3.1% (719) 776-5816
4 INTERMOUNTAIN PATHOLOGISTS PC MONTROSE PATHOLOGY 2 3,499 $693,622 $198 premium 4.1% 1.4% (970) 240-7229
5 ELEVATED PATHOLOGY PLLC DENVER PATHOLOGY 6 3,076 $665,123 $216 premium 3.6% 1.2% (303) 778-1955
6 DIAGNOSTIC PATHOLOGY SERVICES OF THE CENTRAL COAST SANTA MARIA PATHOLOGY 11 2,947 $257,496 $87 premium 3.4% 1.2% (805) 739-3000
7 GRAND JUNCTION PATHOLOGISTS, P.C. GRAND JUNCTION PATHOLOGY 4 2,303 $446,782 $194 premium 2.7% 0.9% (970) 244-2069
8 HEALTHONE IRL PATHOLOGY SERVICES LLC ENGLEWOOD PATHOLOGY 20 2,222 $518,590 $233 premium 2.6% 0.9% (303) 788-6130
9 BOULDER VALLEY PATHOLOGY P C BOULDER PATHOLOGY 4 1,873 $368,733 $197 premium 2.2% 0.8% (720) 854-7000
10 VALLEY PATHOLOGY ASSOCIATES PLLC TWIN FALLS PATHOLOGY 3 1,809 $189,916 $105 premium 2.1% 0.7% (208) 814-0361
11 COLORADO PATHOLOGY CONSULTANTS PC BRIGHTON PATHOLOGY 7 1,667 $165,967 $100 premium 2.0% 0.7% (877) 701-8188
12 UNITED PATHOLOGY SERVICES PC LONGMONT PATHOLOGY 4 1,515 $199,425 $132 premium 1.8% 0.6% (720) 718-7000
13 FORWARD PATHOLOGY SOLUTIONS, LLC RICHMOND PATHOLOGY 26 1,280 $325,155 $254 premium 1.5% 0.5% (804) 289-4852
14 UTAH PATHOLOGY SERVICES INC MURRAY PATHOLOGY 28 725 $116,315 $160 premium 0.8% 0.3% (801) 266-0055
15 KANSAS PATHOLOGY CONSULTANTS, PA WICHITA PATHOLOGY 3 703 $94,906 $135 premium 0.8% 0.3% (316) 681-2741
16 LABORATORY MEDICINE CONSULTANTS LTD LAS VEGAS PATHOLOGY 29 430 $111,800 $260 premium 0.5% 0.2% (702) 731-8000
17 INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC ATLANTIS PATHOLOGY 133 300 $78,000 $260 premium 0.4% 0.1% (561) 548-3639
18 EASTERN GREAT LAKES PATHOLOGY PC BUFFALO PATHOLOGY 14 236 $29,740 $126 premium 0.3% 0.1% (716) 862-1769
19 AUSTIN PATHOLOGY ASSOCIATES TYLER PATHOLOGY 72 199 $56,715 $285 premium 0.2% 0.1% (903) 593-8441

*"Share of specialty" is the group's share of disclosed Medicare-FFS services for the primary code among groups with the SAME modal specialty in the state; "share of state" is the same figure against the whole state. Specialty is each group's modal member specialty from CMS's clinician register — a multi-specialty group carries one label. Where fewer than 11 groups share the specialty in the state, the specialty share renders "—" — the specialty benchmark is suppressed (fewer than 11 groups) and the state share alongside is the benchmark. Group figures sum clinicians affiliated with exactly one group. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →