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Medicare · fee-for-service Part B

Pathology — Medicare Part B billing by state

$346.3M
Medicare payments
569
Physician groups
$609K
per group

569 physician groups whose primary specialty is Pathology billed $346.3M to Medicare fee-for-service in 2024.

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

On this page: Billing by state · Top codes

Medicare billing by state

Physician groups whose primary specialty is Pathology, by billing state · CY2024
State Standardized payments Medicare payments Groups Pay / group Services Benef.-episodes Svc / group
California $41.7M $46.3M 92 $503K 1.1M 584K 11,770
Florida $29.6M $29.7M 74 $401K 902K 487K 12,187
Texas $25.8M $25.7M 79 $325K 780K 447K 9,868
Georgia $20.7M $20.5M 35 $587K 459K 275K 13,101
Tennessee $19.4M $18.5M 37 $501K 529K 333K 14,306
New York $14.8M $15.6M 53 $295K 466K 265K 8,793
Illinois $14.0M $14.2M 59 $240K 511K 292K 8,667
New Jersey $13.4M $14.4M 31 $466K 388K 209K 12,525
North Carolina $11.3M $11.0M 35 $315K 327K 195K 9,354
Alabama $10.6M $9.8M 25 $392K 231K 147K 9,256
Massachusetts $10.3M $10.9M 41 $267K 367K 162K 8,940
Ohio $9.9M $9.7M 44 $219K 373K 208K 8,467
Virginia $8.9M $8.9M 27 $330K 314K 172K 11,620
Arizona $8.8M $8.8M 22 $399K 221K 118K 10,048
Washington $8.7M $9.2M 15 $611K 248K 144K 16,557
Colorado $6.0M $6.0M 20 $302K 188K 103K 9,380
Michigan $5.8M $5.8M 44 $131K 193K 110K 4,378
Missouri $5.8M $5.7M 30 $188K 189K 109K 6,310
Oklahoma $5.8M $5.4M 11 $494K 159K 97,380 14,435
South Carolina $5.6M $5.5M 20 $273K 190K 112K 9,512
Indiana $5.4M $5.3M 28 $188K 195K 116K 6,968
Pennsylvania $5.2M $5.3M 39 $137K 183K 105K 4,704
Arkansas $5.0M $4.8M 13 $367K 161K 79,732 12,391
Kentucky $4.5M $4.4M 22 $201K 164K 90,187 7,454
Maryland $4.4M $4.6M 31 $147K 138K 79,916 4,454
Oregon $3.6M $3.7M 15 $249K 94,704 54,738 6,314
Wisconsin $3.4M $3.3M 18 $186K 129K 77,526 7,170
Iowa $3.3M $3.2M 22 $147K 119K 71,568 5,392
Minnesota $3.0M $3.0M 19 $160K 113K 65,176 5,923
Louisiana $2.9M $2.8M 12 $235K 103K 60,705 8,601
Connecticut $2.8M $2.9M 17 $169K 88,890 50,248 5,229
Utah $2.4M $2.3M 14 $168K 78,846 44,758 5,632
Nebraska $2.4M $2.3M 9 $253K 61,457 33,540 6,829
Kansas $2.0M $1.9M 17 $112K 63,432 35,148 3,731
Mississippi $1.8M $1.7M 12 $142K 64,180 38,181 5,348
Hawaii $1.6M $1.7M 5 $347K 50,074 28,305 10,015
Nevada $1.4M $1.4M 5 $271K 49,574 29,324 9,915
Maine $1.2M $1.3M 5 $254K 46,682 25,334 9,336
South Dakota $1.1M $1.1M 1 $1.1M 41,188 22,827 41,188
Delaware $1.1M $1.1M 4 $271K 24,313 14,746 6,078
Montana $1.0M $962K 4 $241K 35,147 20,080 8,787
New Mexico $887K $856K 8 $107K 24,187 14,841 3,023
New Hampshire $883K $903K 8 $113K 32,578 18,134 4,072
North Dakota $700K $720K 3 $240K 20,887 11,006 6,962
PR $659K $652K 7 $93K 13,607 7,760 1,944
Idaho $589K $564K 3 $188K 16,952 10,483 5,651
Alaska $506K $690K 4 $172K 18,106 10,221 4,526
Vermont $316K $308K 3 $103K 10,186 5,587 3,395
Rhode Island $312K $324K 4 $81K 11,046 6,578 2,762
Wyoming $150K $142K 2 $71K 4,797 2,477 2,398
West Virginia $136K $138K 3 $46K 4,755 2,586 1,585
District of Columbia $119K $126K 4 $32K 4,151 2,217 1,038
Ranked by standardized payments — the cross-state basis (regional price differences removed); the bar tracks it. The Medicare payments column shows what Medicare actually paid. A state opens the ranked Pathology groups for that state's biggest code, unless that code is CPT®-coded and withheld under AMA licensing — the state's name then stays unlinked.

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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

11 more CPT-coded procedures — shown with a trial or subscription, under AMA licensing.

Code Medicare payments Services Largest state markets
G0416 · Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method $6.1M 37,219 CAFLTXGATN
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 without an account; state links open the ranked groups for that code in that state.