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Medicare · fee-for-service Part B

Pathology — Medicare Part B billing by state

$0.34B
Medicare payments
563
Physician groups
10,272,583
Services

563 physician groups whose primary specialty is Pathology billed $0.34B to Medicare fee-for-service in 2024.

Calendar year 2024 · Medicare fee-for-service Part B

Physician groups whose primary specialty is Pathology, by billing state · CY2024
State Groups Services Beneficiary-episodes Medicare payments Standardized payments ↓ Payments / group Services / group
California 91 1,090,828 587,316 $46,285,667 $41,735,927 $508,634 11,987
Florida 75 894,585 481,687 $29,204,457 $29,107,321 $389,393 11,928
Texas 80 830,474 470,976 $27,526,142 $27,585,763 $344,077 10,381
Tennessee 36 544,424 343,588 $19,092,699 $20,055,261 $530,353 15,123
Georgia 32 442,268 264,296 $19,428,259 $19,563,434 $607,133 13,821
New York 55 467,412 248,570 $14,598,720 $13,643,781 $265,431 8,498
Illinois 56 518,208 287,559 $13,638,605 $13,419,628 $243,547 9,254
New Jersey 29 354,295 196,822 $12,706,029 $11,816,840 $438,139 12,217
North Carolina 32 326,743 195,323 $11,003,593 $11,325,330 $343,862 10,211
Alabama 24 233,482 148,947 $9,859,340 $10,690,394 $410,806 9,728
Massachusetts 39 368,967 162,933 $10,904,247 $10,271,015 $279,596 9,461
Ohio 42 348,167 202,573 $9,095,053 $9,326,210 $216,549 8,290
Arizona 21 224,948 120,559 $8,939,658 $8,979,472 $425,698 10,712
Virginia 25 311,364 170,368 $8,842,210 $8,850,944 $353,688 12,455
Washington 16 239,514 137,689 $8,915,435 $8,483,509 $557,215 14,970
Oklahoma 11 162,177 99,094 $5,536,523 $5,902,620 $503,320 14,743
Missouri 31 191,491 110,575 $5,706,233 $5,858,759 $184,072 6,177
Colorado 19 184,691 101,332 $5,889,359 $5,785,626 $309,966 9,721
South Carolina 19 189,483 111,963 $5,441,940 $5,569,504 $286,418 9,973
Indiana 26 194,095 115,152 $5,222,610 $5,354,984 $200,870 7,465
Pennsylvania 36 184,038 104,798 $5,372,764 $5,238,149 $149,243 5,112
Michigan 40 179,618 100,930 $5,126,425 $5,184,144 $128,161 4,490
Arkansas 14 163,743 81,543 $4,842,497 $5,118,551 $345,893 11,696
Kentucky 23 164,864 90,573 $4,409,286 $4,535,005 $191,708 7,168
Maryland 30 137,130 79,347 $4,527,952 $4,345,794 $150,932 4,571
Oregon 15 97,424 56,147 $3,869,801 $3,733,411 $257,987 6,495
Wisconsin 19 129,596 77,883 $3,359,131 $3,423,759 $176,796 6,821
Iowa 22 123,683 74,605 $3,372,065 $3,417,564 $153,276 5,622
Louisiana 12 109,266 64,309 $2,997,148 $3,110,583 $249,762 9,106
Minnesota 19 112,531 65,176 $3,040,630 $3,046,267 $160,033 5,923
Connecticut 16 90,013 50,654 $2,873,917 $2,758,382 $179,620 5,626
Utah 15 82,470 46,540 $2,484,614 $2,570,741 $165,641 5,498
Kansas 17 63,432 35,148 $1,909,819 $1,965,066 $112,342 3,731
Mississippi 12 64,180 38,181 $1,698,976 $1,760,208 $141,581 5,348
Hawaii 5 50,074 28,305 $1,736,078 $1,602,301 $347,216 10,015
Nebraska 6 38,536 20,856 $1,377,202 $1,441,344 $229,534 6,423
Nevada 5 49,346 29,262 $1,349,452 $1,358,533 $269,890 9,869
Maine 5 46,682 25,334 $1,270,084 $1,249,128 $254,017 9,336
South Dakota 1 41,188 22,827 $1,117,770 $1,130,143 $1,117,770 41,188
Delaware 4 24,313 14,746 $1,085,824 $1,080,617 $271,456 6,078
Montana 4 35,147 20,080 $962,174 $1,004,123 $240,543 8,787
New Mexico 8 24,187 14,841 $855,896 $886,611 $106,987 3,023
New Hampshire 8 32,578 18,134 $903,294 $883,005 $112,912 4,072
North Dakota 3 20,887 11,006 $720,439 $699,751 $240,146 6,962
PR 7 14,869 8,964 $688,868 $696,537 $98,410 2,124
Idaho 3 16,952 10,483 $564,404 $589,441 $188,135 5,651
Alaska 4 18,106 10,221 $689,973 $506,407 $172,493 4,526
Vermont 3 10,186 5,587 $307,992 $315,676 $102,664 3,395
Rhode Island 4 11,046 6,578 $323,651 $311,620 $80,913 2,762
West Virginia 4 7,536 4,169 $209,273 $210,356 $52,318 1,884
Wyoming 2 4,797 2,477 $142,429 $149,775 $71,214 2,398
District of Columbia 4 4,151 2,217 $126,164 $118,523 $31,541 1,038
ZZ 2 2,040 1,210 $82,633 $77,376 $41,317 1,020
AE 1 358 281 $10,170 $9,337 $10,170 358
Ranked by standardized payments — the cross-state basis (regional price differences removed). The Medicare payments column shows what Medicare actually paid. Each state opens the ranked Pathology market for that state's biggest code.

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Each group carries one specialty label — the specialty most common among its clinicians in CMS's Doctors and Clinicians register — so every figure on this page counts groups, not individual clinicians. An organization's entire Medicare billing is credited to that one label, so a specialty's totals reflect how organizations are labeled, not the specialty of each service; large multi-specialty organizations — where no single specialty is a majority of the clinicians — account for much of the volume shown under many specialties. Totals include only volume that can be credited to a single group; clinicians registered with more than one group are left out of group totals and shown as “—” elsewhere on Nevvi. Clinicians not registered with any group, and groups without a specialty label, are also not included. A group is counted in every state its clinicians bill Medicare from, so state figures overlap and never sum to the national figure.

All figures are Medicare fee-for-service Part B only; Medicare Advantage claims are not included. Cross-state comparisons use standardized payments, which remove regional differences in what Medicare pays; services without a standardized amount — mainly Part B drugs — are not in that column, and the Medicare payments column shows what Medicare actually paid. Beneficiary counts are beneficiary-episodes: one person treated in more than one setting or state is counted in each.

Top codes by Medicare payments CY2024

Code Services Medicare payments ↓ Largest state markets
88305 · Pathology examination of tissue using a microscope, intermediate complexity 4,132,358 $139,477,626 CAFLTXTNGA
88341 · Special stained specimen slides to examine tissue, each additional procedure 1,313,018 $32,811,886 CAFLTXTNGA
88307 · Pathology examination of tissue using a microscope, moderately high complexity 397,896 $25,539,298 CAFLTXTNGA
88342 · Special stained specimen slides to examine tissue, initial procedure 685,507 $23,995,372 CAFLTXTNGA
88312 · Special stained specimen slides to identify organisms including interpretation and report 271,270 $12,960,302 CAFLTXTNGA
88360 · Microscopic genetic analysis of tumor, manual 220,671 $7,953,925 CAFLTXTNGA
88173 · Evaluation of fine needle aspirate with interpretation and report 136,176 $7,841,028 CAFLTXTNGA
G0416 · Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method 37,064 $6,030,846 CAFLTXTNGA
88313 · Special stained specimen slides to examine tissue including interpretation and report 310,211 $5,777,030 CAFLTXTNGA
88112 · Cell examination of specimen, selective cellular enhancement technique 238,778 $5,470,377 CAFLTXTNGA
88304 · Pathology examination of tissue using a microscope, moderately low complexity top by services 265,547 $3,093,431 CAFLTXTNGA
88311 · Preparation of tissue for examination by removing any calcium present top by services 214,102 $2,045,867 CAFLTXTNGA
Top codes by Medicare payments and by services (both rankings, duplicates merged; capped, never the full code list). “top by services” marks codes here on service volume rather than payments. Each code is searchable free at full depth; state links open that code's ranked market page.

Every code above is searchable free at full depth. Ranking organizations across several codes at once — one combined market view — is part of a Nevvi subscription.

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