Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

SOUTHERN PATHOLOGY SERVICES, INC.

Pathology, Anatomic Pathology·PONCE, PR·NPI: 1134119233Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.9M

$18,949,073

Total Claims

348K

Beneficiaries

300K

1.2 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+15%
2019
$1.7M
-4%
2020
$1.7M
+68%
2021
$2.8M
-11%
2022
$2.5M
+43%
2023
$3.5M
+49%
2024
$5.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 49 distinct procedure codes. The top code (88305 (Surgical pathology, gross and microscopic examination)) accounts for 30% of total spending.

88305Top 25%

Surgical pathology, gross and microscopic examination

$5.8M

71K claims · 30.5%

Your Cost: $81.36/claim|Median: $35.80
2.3× median
88307Top 5%

Surgical pathology, gross and microscopic, complex

$2.6M

12K claims · 13.9%

Your Cost: $225.70/claim|Median: $59.38
3.8× median
88341Top 5%

$2.0M

8,696 claims · 10.8%

Your Cost: $235.16/claim|Median: $45.31
5.2× median
88342Top 10%

$2.0M

25K claims · 10.6%

Your Cost: $79.18/claim|Median: $23.66
3.3× median
88142Top 25%

$1.8M

83K claims · 9.5%

Your Cost: $21.80/claim|Median: $14.75
1.5× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$723K

24K claims · 3.8%

Your Cost: $30.71/claim|Median: $25.57
1.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$716K

24K claims · 3.8%

Your Cost: $30.23/claim|Median: $24.95
1.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$684K

24K claims · 3.6%

Your Cost: $29.10/claim|Median: $23.39
1.2× median
88304Top 25%

$458K

14K claims · 2.4%

Your Cost: $33.34/claim|Median: $12.88
2.6× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$328K

11K claims · 1.7%

Your Cost: $30.39/claim|Median: $26.72
1.1× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$293K

9,430 claims · 1.5%

Your Cost: $31.05/claim|Median: $21.08
1.5× median
88309Top 1%

$215K

593 claims · 1.1%

Your Cost: $362.23/claim|Median: $86.67
4.2× median
88302Top 5%

$212K

4,718 claims · 1.1%

Your Cost: $44.85/claim|Median: $8.69
5.2× median
88141Normal range

$208K

12K claims · 1.1%

Your Cost: $17.75/claim|Median: $14.87
1.2× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$178K

3,515 claims · 0.9%

Your Cost: $50.69/claim|Median: $39.70
1.3× median
88112Top 10%

$128K

2,677 claims · 0.7%

Your Cost: $47.93/claim|Median: $19.79
2.4× median
88361Top 1%

$103K

331 claims · 0.5%

Your Cost: $311.65/claim|Median: $65.22
4.8× median
87625Top 25%

$94K

3,083 claims · 0.5%

Your Cost: $30.34/claim|Median: $20.47
1.5× median
88311Top 5%

$65K

2,582 claims · 0.3%

Your Cost: $25.15/claim|Median: $5.68
4.4× median
G2023Top 10%

Specimen collection for COVID-19 testing

$50K

2,033 claims · 0.3%

Your Cost: $24.49/claim|Median: $17.15
1.4× median
87481Normal range

$41K

1,312 claims · 0.2%

Your Cost: $31.41/claim|Median: $22.38
1.4× median
87511Top 25%

$41K

1,279 claims · 0.2%

Your Cost: $31.89/claim|Median: $16.46
1.9× median
88300Top 25%

$25K

2,385 claims · 0.1%

Your Cost: $10.66/claim|Median: $4.76
2.2× median
88143Normal range

$25K

1,235 claims · 0.1%

Your Cost: $19.91/claim|Median: $13.44
1.5× median
87070Normal range

Bacterial culture, any source except blood or urine

$23K

3,148 claims · 0.1%

Your Cost: $7.45/claim|Median: $5.89
1.3× median
87641Top 10%

$17K

535 claims · 0.1%

Your Cost: $31.71/claim|Median: $12.38
2.6× median
88150Top 25%

$12K

1,080 claims · 0.1%

Your Cost: $11.34/claim|Median: $6.47
1.8× median
88164Top 25%

$6K

500 claims · 0.0%

Your Cost: $12.36/claim|Median: $7.56
1.6× median
88108Top 10%

$4K

118 claims · 0.0%

Your Cost: $31.72/claim|Median: $13.54
2.3× median
88312Top 10%

$3K

30 claims · 0.0%

Your Cost: $115.78/claim|Median: $24.56
4.7× median
88313Top 5%

$3K

24 claims · 0.0%

Your Cost: $129.85/claim|Median: $18.95
6.9× median
87653Top 25%

$3K

87 claims · 0.0%

Your Cost: $34.79/claim|Median: $19.33
1.8× median
87081Normal range

Culture screening for pathogenic organisms

$3K

456 claims · 0.0%

Your Cost: $6.59/claim|Median: $5.09
1.3× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$2K

69 claims · 0.0%

Your Cost: $29.50/claim|Median: $30.04
1.0× median
87536Top 25%

HIV-1 detection by nucleic acid, quantitative

$2K

20 claims · 0.0%

Your Cost: $80.94/claim|Median: $51.73
1.6× median
88331Top 25%

$1K

20 claims · 0.0%

Your Cost: $73.68/claim|Median: $46.78
1.6× median
88321Top 5%

$1K

16 claims · 0.0%

Your Cost: $86.74/claim|Median: $44.34
2.0× median
87186Top 25%

Antimicrobial susceptibility testing, microdilution, per agent

$1K

163 claims · 0.0%

Your Cost: $8.21/claim|Median: $4.65
1.8× median
10022Normal range

$1K

16 claims · 0.0%

Your Cost: $64.44/claim|Median: $89.30
0.7× median
U0002Top 10%

COVID-19 lab test, non-CDC, nucleic acid

$975

19 claims · 0.0%

Your Cost: $51.33/claim|Median: $34.62
1.5× median
86360Top 25%

$713

16 claims · 0.0%

Your Cost: $44.56/claim|Median: $26.97
1.7× median
88173Normal range

$690

15 claims · 0.0%

Your Cost: $46.02/claim|Median: $38.77
1.2× median
76942Normal range

$514

13 claims · 0.0%

Your Cost: $39.50/claim|Median: $24.73
1.6× median
88172Normal range

$460

16 claims · 0.0%

Your Cost: $28.77/claim|Median: $26.08
1.1× median
87071Top 25%

$423

50 claims · 0.0%

Your Cost: $8.47/claim|Median: $3.64
2.3× median
86703Top 25%

$194

15 claims · 0.0%

Your Cost: $12.90/claim|Median: $10.37
1.2× median
86592Normal range

$147

36 claims · 0.0%

Your Cost: $4.07/claim|Median: $3.35
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$135

20 claims · 0.0%

Your Cost: $6.76/claim|Median: $4.71
1.4× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$0

32 claims · 0.0%

Your Cost: $0.01/claim|Median: $30.53
0.0× median

Other Top Providers in Puerto Rico

View all →

Alivia Specialty LLC

Pharmacy Specialty Pharmacy

$189.0M

← All providersAll providers in Puerto Rico →How we detect fraud →