T-MSIS provider-level spending data, Jan 2018 – Dec 2024
Surgical pathology, gross & microscopic exam
Total Paid
$1.44B
$1,442,671,302
Beneficiaries
28.5M
28,488,376
Avg $/Claim
$43
Median: $81
Utilization
1.2 claims/bene
8,036 providers
Each dot is a provider. X = cost index (vs procedure median). Y = total spending.
Drag to zoom into a region
| # | Provider | State | Total Paid▼ | $/Claim | Cost Index | Claims | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 1 | 1740460583 HATO REY PATHOLOGY ASSOCIATES INC | PR | $11.5M | $91vs $81 med | 1.12x | 126,283 | 100,126 |
| 2 | 1760480503 PHOENIX CHILDREN'S HOSPITAL | AZ | $9.5M | $716vs $81 med | 8.87x | 13,211 | 12,854 |
| 3 | 1598760985 YOSEMITE PATHOLOGY MEDICAL GROUP, INC | CA | $9.0M | $44vs $81 med | 0.55x | 202,373 | 143,675 |
| 4 | 1205835600 P & C LABS, LLC | KY | $8.9M | $95vs $81 med | 1.18x | 93,484 | 85,951 |
| 5 | 1174503999 PATHOLOGY SPECIALIST OF ARIZONA, LLP | AZ | $8.5M | $65vs $81 med | 0.80x | 130,694 | 125,254 |
| 6 | 1366479099 UNILAB CORPORATION | CA | $8.5M | $25vs $81 med | 0.31x | 340,929 | 318,898 |
| 7 | 1871627067 THE DELTA PATHOLOGY GROUP LLC | LA | $8.3M | $72vs $81 med | 0.90x | 115,251 | 96,158 |
| 8 | 1003863580 ASSOCIATED PATHOLOGISTS, LLC | TN | $7.8M | $35vs $81 med | 0.43x | 223,882 | 202,325 |
| 9 | 1467433292 INFORM DIAGNOSTICS, INC. | TX | $7.7M | $40vs $81 med | 0.49x | 191,891 | 147,953 |
| 10 | 1326086745 INCYTE PATHOLOGY, P.S. | WA | $6.9M | $46vs $81 med | 0.57x | 150,797 | 144,778 |
| 11 | 1134277494 BIOREFERENCE HEALTH, LLC | NJ | $6.7M | $47vs $81 med | 0.58x | 141,546 | 133,309 |
| 12 | 1063525152 MONTEFIORE MEDICAL CENTER | NY | $6.1M | $81vs $81 med | 1.01x | 74,656 | 73,463 |
| 13 | 1033173182 HOSPITAL PATHOLOGY ASSOCIATES PA | MN | $5.8M | $51vs $81 med | 0.63x | 113,802 | 105,343 |
| 14 | 1134119233 SOUTHERN PATHOLOGY SERVICES, INC. | PR | $5.8M | $81vs $81 med | 1.01x | 70,967 | 56,162 |
| 15 | 1043275787 UNIVERSITY FAMILY PHYSICIANS, INC. | IN | $5.6M | $53vs $81 med | 0.65x | 106,584 | 94,042 |
| 16 | 1942374517 AMERIPATH INDIANAPOLIS PC | IN | $5.5M | $41vs $81 med | 0.51x | 134,350 | 110,845 |
| 17 | 1538144910 LABORATORY CORPORATION OF AMERICA HOLDINGS | NC | $5.5M | $53vs $81 med | 0.66x | 102,554 | 91,575 |
| 18 | 1962480608 DIANON SYSTEMS, INC | CT | $5.4M | $38vs $81 med | 0.47x | 143,498 | 131,851 |
| 19 | 1346271251 POPLAR HEALTHCARE, PLLC | TN | $5.4M | $45vs $81 med | 0.55x | 120,614 | 104,874 |
| 20 | 1225016140 LABORATORIO DE PATOLOGIA DR NOY | PR | $5.2M | $97vs $81 med | 1.20x | 53,576 | 47,435 |
| 21 | 1033196001 LABORATORY CORPORATION OF AMERICA HOLDINGS | NC | $5.1M | $107vs $81 med | 1.33x | 47,551 | 46,323 |
| 22 | 1093843450 PATHOLOGY GROUP OF LOUISIANA, A PROFESSIONAL MEDICAL CORPORATION | LA | $5.0M | $60vs $81 med | 0.74x | 84,263 | 70,548 |
| 23 | 1679525919 THE CLEVELAND CLINIC FOUNDATION | OH | $5.0M | $34vs $81 med | 0.42x | 146,885 | 133,210 |
| 24 | 1194797993 AMERIPATH NEW YORK LLC | CT | $4.9M | $115vs $81 med | 1.42x | 42,837 | 39,213 |
| 25 | 1932145778 QUEST DIAGNOSTICS INCORPORATED | NJ | $4.9M | $48vs $81 med | 0.59x | 101,540 | 78,661 |
50 rows · Page 1 of 2
Each dot is a state. X = average cost per claim. Y = total spending.
Drag to zoom into a region
| # | State | Total Paid▼ | Avg $/Claim | Claims | Beneficiaries | Providers |
|---|---|---|---|---|---|---|
| 1 | CA | $162.4M | $37 | 4,392,923 | 3,800,893 | 830 |
| 2 | NY | $161.5M | $64 | 2,525,007 | 2,308,757 | 643 |
| 3 | NJ | $72.7M | $56 | 1,287,673 | 1,162,535 | 209 |
| 4 | OH | $62.7M | $34 | 1,822,648 | 1,533,069 | 336 |
| 5 | AZ | $58.0M | $61 | 943,612 | 799,183 | 139 |
| 6 | KY | $49.8M | $57 | 878,019 | 747,794 | 129 |
| 7 | NC | $49.7M | $49 | 1,017,749 | 830,511 | 180 |
| 8 | FL | $49.6M | $40 | 1,241,329 | 990,846 | 446 |
| 9 | MA | $41.7M | $27 | 1,530,047 | 1,340,604 | 352 |
| 10 | PR | $40.4M | $85 | 476,153 | 394,860 | 32 |
| 11 | TX | $39.5M | $47 | 836,098 | 700,903 | 301 |
| 12 | IN | $37.9M | $48 | 796,596 | 650,618 | 143 |
| 13 | CT | $36.5M | $36 | 1,021,904 | 898,194 | 87 |
| 14 | LA | $34.5M | $48 | 716,674 | 569,611 | 92 |
| 15 | TN | $33.9M | $35 | 971,859 | 829,851 | 203 |
| 16 | MI | $30.8M | $23 | 1,315,559 | 1,217,204 | 211 |
| 17 | WA | $29.2M | $27 | 1,076,455 | 888,226 | 141 |
| 18 | IL | $28.3M | $36 | 788,416 | 698,984 | 609 |
| 19 | PA | $27.2M | $39 | 698,637 | 635,746 | 489 |
| 20 | MN | $25.9M | $48 | 541,973 | 457,741 | 115 |
| 21 | OR | $25.3M | $54 | 468,867 | 409,677 | 90 |
| 22 | CO | $25.0M | $47 | 531,287 | 411,395 | 130 |
| 23 | SC | $23.9M | $64 | 370,580 | 332,872 | 134 |
| 24 | MD | $22.9M | $59 | 390,653 | 337,788 | 123 |
| 25 | WI | $22.3M | $25 | 899,455 | 693,551 | 193 |
54 rows · Page 1 of 3