MERLE MADIGAN, D.O.
Anatomic Pathology & Clinical Pathology Physician · DOTHAN, AL
Individual Active NPI 1851380893
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,111 | 2,371 | $448,094 | $90,502 | $70,895 |
| 2023 | 1,222 | 2,789 | $508,782 | $103,020 | $79,842 |
| 2022 | 1,252 | 2,820 | $511,041 | $105,848 | $82,559 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 999 | $34 | $26 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 266 | $24 | $19 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 219 | $25 | $19 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 180 | $10 | $8 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 174 | $26 | $20 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 163 | $74 | $59 |
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method | 106 | $162 | $129 |
| 88311 | Preparation of tissue for examination by removing any calcium present | 58 | $11 | $9 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 44 | $32 | $24 |
| 88331 | Pathology examination of specimen during surgery, first tissue block | 28 | $56 | $45 |
| 88302 | Pathology examination of tissue using a microscope | 24 | $6 | $5 |
| 88309 | Pathology examination of tissue using a microscope, high complexity | 24 | $131 | $105 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ✓ | DO-881 | AL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.