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YOSEMITE PATHOLOGY MEDICAL GROUP, INC

Pathology, Anatomic Pathology & Clinical Pathology·MODESTO, CA·NPI: 1598760985Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$33.9M

$33,897,742

Total Claims

1.9M

Beneficiaries

1.6M

1.2 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+11%
2019
$3.3M
+20%
2020
$4.0M
+68%
2021
$6.7M
-1%
2022
$6.6M
-16%
2023
$5.6M
-17%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (88305 (Surgical pathology, gross and microscopic examination)) accounts for 26% of total spending.

88305Normal range

Surgical pathology, gross and microscopic examination

$9.0M

202K claims · 26.4%

Your Cost: $44.30/claim|Median: $35.80
1.2× median
88342Top 25%

$4.2M

87K claims · 12.4%

Your Cost: $48.38/claim|Median: $23.66
2.0× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$3.3M

49K claims · 9.8%

Your Cost: $68.42/claim|Median: $59.38
1.2× median
U0004Top 5%

COVID-19 test, nucleic acid detection, CDC lab only

$2.6M

23K claims · 7.6%

Your Cost: $111.78/claim|Median: $60.05
1.9× median
88313Normal range

$2.2M

66K claims · 6.3%

Your Cost: $32.49/claim|Median: $18.95
1.7× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$1.2M

38K claims · 3.7%

Your Cost: $33.14/claim|Median: $24.95
1.3× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.2M

36K claims · 3.4%

Your Cost: $32.07/claim|Median: $23.39
1.4× median
88304Normal range

$1.1M

55K claims · 3.4%

Your Cost: $20.64/claim|Median: $12.88
1.6× median
88341Top 25%

$1.1M

13K claims · 3.2%

Your Cost: $80.96/claim|Median: $45.31
1.8× median
88175Top 25%

Cytopathology, cervical or vaginal, ThinPrep

$1.1M

38K claims · 3.1%

Your Cost: $27.73/claim|Median: $19.06
1.5× median
87624Top 25%

HPV detection, high-risk types, nucleic acid

$932K

26K claims · 2.7%

Your Cost: $36.49/claim|Median: $25.57
1.4× median
U0005Top 5%

Infectious disease detection, COVID-19, antigen

$586K

16K claims · 1.7%

Your Cost: $35.54/claim|Median: $15.76
2.3× median
81513Top 25%

$573K

4,409 claims · 1.7%

Your Cost: $129.95/claim|Median: $71.32
1.8× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$542K

16K claims · 1.6%

Your Cost: $34.33/claim|Median: $21.08
1.6× median
88312Normal range

$461K

12K claims · 1.4%

Your Cost: $38.68/claim|Median: $24.56
1.6× median
87481Top 25%

$413K

9,262 claims · 1.2%

Your Cost: $44.61/claim|Median: $22.38
2.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$343K

173K claims · 1.0%

Your Cost: $1.99/claim|Median: $4.71
0.4× median
80053Normal range

Comprehensive metabolic panel

$334K

135K claims · 1.0%

Your Cost: $2.48/claim|Median: $7.24
0.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$245K

15K claims · 0.7%

Your Cost: $16.41/claim|Median: $65.64
0.3× median
82962Top 5%

Blood glucose test by monitoring device

$185K

20K claims · 0.5%

Your Cost: $9.18/claim|Median: $1.40
6.6× median
88142Top 25%

$144K

6,788 claims · 0.4%

Your Cost: $21.29/claim|Median: $14.75
1.4× median
83880Normal range

$115K

16K claims · 0.3%

Your Cost: $7.23/claim|Median: $11.81
0.6× median
84484Normal range

Troponin, quantitative

$111K

42K claims · 0.3%

Your Cost: $2.64/claim|Median: $4.84
0.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$107K

4,559 claims · 0.3%

Your Cost: $23.46/claim|Median: $35.43
0.7× median
83735Normal range

Magnesium blood level test

$93K

38K claims · 0.3%

Your Cost: $2.48/claim|Median: $2.77
0.9× median
80048Normal range

Basic metabolic panel

$84K

31K claims · 0.2%

Your Cost: $2.72/claim|Median: $5.78
0.5× median
88302Top 25%

$75K

4,308 claims · 0.2%

Your Cost: $17.50/claim|Median: $8.69
2.0× median
88112Top 25%

$75K

2,425 claims · 0.2%

Your Cost: $30.75/claim|Median: $19.79
1.6× median
87040Normal range

$61K

19K claims · 0.2%

Your Cost: $3.30/claim|Median: $5.54
0.6× median
83690Normal range

$61K

41K claims · 0.2%

Your Cost: $1.48/claim|Median: $3.35
0.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$60K

17K claims · 0.2%

Your Cost: $3.55/claim|Median: $9.87
0.4× median
83605Normal range

$56K

19K claims · 0.2%

Your Cost: $2.97/claim|Median: $4.66
0.6× median
82952Top 1%

$45K

2,555 claims · 0.1%

Your Cost: $17.75/claim|Median: $3.03
5.9× median
82803Normal range

$44K

8,413 claims · 0.1%

Your Cost: $5.26/claim|Median: $8.90
0.6× median
87086Normal range

Urine culture, colony count, with identification

$44K

26K claims · 0.1%

Your Cost: $1.66/claim|Median: $5.31
0.3× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$42K

5,146 claims · 0.1%

Your Cost: $8.10/claim|Median: $26.72
0.3× median
88173Normal range

$41K

1,008 claims · 0.1%

Your Cost: $40.64/claim|Median: $38.77
1.0× median
81001Normal range

Urinalysis, automated, with microscopy

$41K

52K claims · 0.1%

Your Cost: $0.79/claim|Median: $2.03
0.4× median
85730Normal range

$39K

26K claims · 0.1%

Your Cost: $1.50/claim|Median: $2.83
0.5× median
87511Top 25%

$38K

1,135 claims · 0.1%

Your Cost: $33.73/claim|Median: $16.46
2.0× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$37K

1,426 claims · 0.1%

Your Cost: $26.05/claim|Median: $38.79
0.7× median
85610Normal range

Prothrombin time (PT) blood clotting test

$36K

35K claims · 0.1%

Your Cost: $1.03/claim|Median: $2.14
0.5× median
84145Normal range

$35K

5,647 claims · 0.1%

Your Cost: $6.22/claim|Median: $6.97
0.9× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$35K

18K claims · 0.1%

Your Cost: $1.97/claim|Median: $5.50
0.4× median
85060Normal range

$34K

2,882 claims · 0.1%

Your Cost: $11.92/claim|Median: $10.92
1.1× median
87625Top 5%

$32K

771 claims · 0.1%

Your Cost: $41.98/claim|Median: $20.47
2.1× median
86923Normal range

$32K

2,125 claims · 0.1%

Your Cost: $15.21/claim|Median: $14.07
1.1× median
81003Normal range

Urinalysis, automated without microscopy

$32K

59K claims · 0.1%

Your Cost: $0.54/claim|Median: $1.48
0.4× median
88311Normal range

$31K

6,838 claims · 0.1%

Your Cost: $4.55/claim|Median: $5.68
0.8× median
80061Normal range

Lipid panel

$29K

11K claims · 0.1%

Your Cost: $2.65/claim|Median: $8.41
0.3× median

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