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Market snapshot

88305 in KY CY2024

Medicare Part B FFS · CY2024 · as published by CMS

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

Billing groups
45
Named-group FFS services
123,343
FFS of Medicare
46%
Services YoY
-4.7%
FFS enrollment -3.4%
Estimated all-Medicare volume FFS + estimated MA estimate
~265,486 services

123,343 observed fee-for-service (46%) · ~142,143 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
$22.2M
Named-group allowed amount
$5.1M
Named-group Medicare payments
$3.8M
Avg charge / svc
$180
Avg allowed / svc
$41
Avg payment / svc
$31
Average charge per group
$51 45 groups · avg submitted charge / service $682
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Specialty market — Pathology: 72,841 services across 22 groups; top group 30%. 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 CHIPPS, CAFFREY AND DUBILIER, P.S.C LEXINGTON PATHOLOGY 19 21,594 $3,244,327 $150 premium 29.6% 12.3% (859) 278-9513
2 LOUISVILLE PATHOLOGY ASSOCIATES, PSC LOUISVILLE PATHOLOGY 5 10,680 $2,915,640 $273 premium 14.7% 6.1% (502) 897-8226
3 CLINICAL ASSOCIATES LLC LOUISVILLE PATHOLOGY 28 9,145 $768,816 $84 premium 12.6% 5.2% (502) 897-9594
4 ASSOCIATED PATHOLOGISTS, LLC NASHVILLE PATHOLOGY 135 5,268 $644,640 $122 premium 7.2% 3.0% (615) 221-4400
5 DANVILLE PATHOLOGY ASSOCIATES PLLP Danville PATHOLOGY 2 4,337 $980,162 $226 premium 6.0% 2.5%
6 PROFESSIONAL PATHOLOGY SERVICE ASHLAND PATHOLOGY 5 4,224 $760,320 $180 premium 5.8% 2.4% (606) 408-0287
7 PATHOLOGY ASSOCIATES OF PADUCAH, PSC PADUCAH PATHOLOGY 5 3,584 $745,242 $208 premium 4.9% 2.0% (270) 575-2244
8 SOUTHEASTERN PATHOLOGY ASSOCIATES PC BRUNSWICK PATHOLOGY 46 2,426 $487,626 $201 premium 3.3% 1.4% 91226126691205
9 HEARTLAND PATHOLOGY CONSULTANTS PSC ELIZABETHTOWN PATHOLOGY 3 1,740 $218,655 $126 premium 2.4% 1.0% (270) 706-1478
10 CAROLINAS PATHOLOGY GROUP PA CHARLOTTE PATHOLOGY 50 1,466 $260,949 $178 premium 2.0% 0.8% (704) 304-5988
11 AMERIPATH INDIANAPOLIS PC INDIANAPOLIS PATHOLOGY 35 1,293 $349,695 $270 premium 1.8% 0.7% (317) 275-8072
12 PATHOLOGY ASSOCIATES OF CENTRAL ILLINOIS LTD SPRINGFIELD PATHOLOGY 14 1,135 $344,018 $303 premium 1.6% 0.6% (217) 788-3000
13 OHIO VALLEY PATHOLOGISTS PC EVANSVILLE PATHOLOGY 12 1,133 $300,245 $265 premium 1.6% 0.6% (812) 450-5000
14 CELLNETIX PATHOLOGY PLLC SEATTLE PATHOLOGY 58 1,026 $196,479 $192 premium 1.4% 0.6% (206) 320-2000
15 CUMBERLAND PATHOLOGY ASSOCIATES PLLC CLARKSVILLE PATHOLOGY 4 967 $138,060 $143 premium 1.3% 0.5% (931) 551-1735
16 RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE NEW BRUNSWICK PATHOLOGY 151 964 $657,764 $682 premium 1.3% 0.5% (732) 937-8651
17 MEMORIAL PATHOLOGY CONSULTANTS PA HOUSTON PATHOLOGY 21 474 $154,173 $325 premium 0.7% 0.3% (713) 456-5000
18 VALLEY PATHOLOGY, P.A. EDINBURG PATHOLOGY 5 412 $97,232 $236 premium 0.6% 0.2% (956) 362-8677
19 DIAGNOSTIC PATHOLOGY CONSULTANTS, LLC LOUISVILLE PATHOLOGY 3 390 $112,710 $289 premium 0.5% 0.2% (502) 456-6217
20 PRATT PATHOLOGY ASSOCIATES INC BOSTON PATHOLOGY 24 264 $56,441 $214 premium 0.4% 0.1%
21 MCLAREN HEALTH MANAGEMENT GROUP FLINT PATHOLOGY 21 220 $29,480 $134 premium 0.3% 0.1% (810) 396-5747
22 INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC ATLANTIS PATHOLOGY 133 99 $25,740 $260 premium 0.1% 0.1% (561) 548-3639

*"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 →