EDWARD LAINE, DO
Anatomic Pathology & Clinical Pathology Physician · KNOXVILLE, TN
Individual Active NPI 1972583102
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 995 | 3,061 | $462,926 | $179,891 | $141,365 |
| 2023 | 492 | 1,576 | $237,987 | $95,403 | $75,389 |
| 2022 | 408 | 913 | $58,363 | $30,325 | $23,066 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 737 | $67 | $51 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 635 | $37 | $29 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 354 | $27 | $22 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 150 | $79 | $63 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 134 | $34 | $27 |
| 88173 | Evaluation of fine needle aspirate with interpretation and report | 106 | $68 | $54 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 88 | $96 | $76 |
| 88360 | Microscopic genetic analysis of tumor, manual | 82 | $127 | $101 |
| 88108 | Cell examination of specimen, concentration technique | 71 | $22 | $17 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 68 | $11 | $9 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 66 | $74 | $59 |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 50 | $38 | $28 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ✓ | 1304 | TN |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 1857 | NE | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 05-28923 | KS | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 5101012103 | MI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 6623 | CA | |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 5101012103 | MI |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- 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.