Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 11 | 1,796 | 2,945 | $763,745 | $80,236 |
| 2022 | 10 | 1,975 | 3,537 | $835,263 | $98,011 |
| 2021 | 12 | 2,388 | 4,371 | $977,218 | $127,720 |
| 2020 | 12 | 2,214 | 4,092 | $890,301 | $123,124 |
All Medicare Procedures & Services
50 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Facility | 2023 | 1,390 | 2,285 | $628,375 | $62,955 | 10.0% |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | Facility | 2023 | 120 | 138 | $35,604 | $3,502 | 9.8% |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | Facility | 2023 | 33 | 56 | $23,072 | $3,437 | 14.9% |
| 88361 | Microscopic genetic analysis of tumor, using computer-assisted technology | Facility | 2023 | 28 | 94 | $28,858 | $3,094 | 10.7% |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Office | 2023 | 32 | 105 | $5,527 | $2,519 | 45.6% |
| 88321 | Surgical pathology consultation and report on referred slides prepared elsewhere | Facility | 2023 | 23 | 23 | $10,741 | $1,444 | 13.4% |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | Facility | 2023 | 32 | 67 | $7,973 | $1,415 | 17.7% |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | Facility | 2023 | 64 | 76 | $11,324 | $634.43 | 5.6% |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | Facility | 2023 | 25 | 32 | $4,608 | $623.42 | 13.5% |
| 76098 | X-ray of surgical specimen | Facility | 2023 | 27 | 35 | $5,215 | $403.59 | 7.7% |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | Facility | 2023 | 11 | 17 | $1,394 | $152.92 | 11.0% |
| 88300 | Pathology examination of tissue using a microscope, limited examination | Facility | 2023 | 11 | 17 | $1,054 | $55.99 | 5.3% |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Facility | 2022 | 1,428 | 2,385 | $655,875 | $66,325 | 10.1% |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Office | 2022 | 188 | 577 | $30,751 | $13,818 | 44.9% |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | Facility | 2022 | 32 | 75 | $30,900 | $4,717 | 15.3% |
| 88361 | Microscopic genetic analysis of tumor, using computer-assisted technology | Facility | 2022 | 33 | 116 | $35,612 | $3,836 | 10.8% |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | Facility | 2022 | 100 | 120 | $30,960 | $3,143 | 10.2% |
| 88321 | Surgical pathology consultation and report on referred slides prepared elsewhere | Facility | 2022 | 30 | 30 | $14,010 | $1,911 | 13.6% |
| 88331 | Pathology examination of specimen during surgery, first tissue block | Facility | 2022 | 15 | 26 | $7,878 | $1,234 | 15.7% |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | Facility | 2022 | 23 | 50 | $5,950 | $1,051 | 17.7% |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | Facility | 2022 | 32 | 43 | $6,192 | $864.53 | 14.0% |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | Facility | 2022 | 68 | 76 | $11,324 | $650.95 | 5.7% |
| 76098 | X-ray of surgical specimen | Facility | 2022 | 26 | 39 | $5,811 | $461.52 | 7.9% |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Facility | 2021 | 1,637 | 2,688 | $729,638 | $79,240 | 10.9% |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | Office | 2021 | 261 | 876 | $46,593 | $22,495 | 48.3% |
About Dr. John Metcalf, MD
Dr. John Metcalf, MD is a Anatomic Pathology healthcare provider based in Charleston, South Carolina. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/26/2006. The National Provider Identifier (NPI) number assigned to this provider is 1255355178.
As a Medicare-enrolled provider, Metcalf has provided services to 8,373 Medicare beneficiaries, totaling 14,945 services with total Medicare billing of $429,092. Data is available for 4 years (2020–2023), covering 50 distinct procedure/service records.
Practice Information
- Specialty Anatomic Pathology
- Location Charleston, SC
- Active Since 07/26/2006
- Last Updated 10/21/2020
- Taxonomy Code 207ZP0101X
- Entity Type Individual
- NPI Number 1255355178
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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