Active NPI 1346333481 Individual Practitioner Female Practitioner

Dr. Priya Rao , MD

Pathology - Anatomic Pathology • Houston, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Priya Rao, MD is a certified Pathology - Anatomic Pathology practicing in Houston, TX. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Rao delivers high-quality medical care to the local community at 1515 HOLCOMBE BLVD.

Dr. Rao is affiliated with Physicians Referral Service and accepts Medicare assignment.

Frequently performed procedures and clinical services include surgical pathology consultation and report on referred slides prepared elsewhere, pathology examination of tissue using a microscope, intermediate complexity, special stained specimen slides to examine tissue. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1515 Holcombe Blvd

Houston, TX 770304009

Telephone 7137926161

Associated Practice Facility / Clinic

🏢 University Of Texas M. D. Anderson Cancer Center Facility NPI 1174582050

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Anatomic Pathology in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -4.1 yrs vs City Avg

City Avg: 31.1 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

69 Specialists

Practicing in Houston, TX (166 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

88.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rao (27 Years) 27 Yrs

Houston Specialty Average (31.1 Years) 31.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88321 Surgical pathology consultation and report on referred slides prepared elsewhere	208	205	$332.17	$81.26
88305 Pathology examination of tissue using a microscope, intermediate complexity	192	88	$369.55	$34.34
88341 Special stained specimen slides to examine tissue	139	41	$203.91	$26.84
88307 Pathology examination of tissue using a microscope, moderately high complexity	96	55	$614.90	$78.50
88342 Special stained specimen slides to examine tissue, initial procedure	51	47	$261.31	$33.44
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	48	48	$1946.27	$170.28
88300 Pathology examination of tissue using a microscope, limited examination	16	12	$98.50	$4.40
88360 Microscopic genetic analysis of tumor	14	11	$362.36	$39.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88321 Surgical pathology consultation and report on referred slides prepared elsewhere	243	239	$319.41	$83.12
88341 Special stained specimen slides to examine tissue	234	50	$196.66	$27.97
88305 Pathology examination of tissue using a microscope, intermediate complexity	133	87	$353.93	$36.84
88307 Pathology examination of tissue using a microscope, moderately high complexity	93	53	$593.26	$81.12
88342 Special stained specimen slides to examine tissue, initial procedure	65	61	$250.63	$34.46
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	46	46	$1876.61	$176.15
88363 Examination of archival tissue for genetic analysis	29	28	$153.24	$19.54
88360 Microscopic genetic analysis of tumor	17	11	$344.76	$41.30
88309 Pathology examination of tissue using a microscope, high complexity	14	11	$788.00	$143.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	254	62	$188.24	$28.74
88321 Surgical pathology consultation and report on referred slides prepared elsewhere	215	214	$307.41	$85.61
88305 Pathology examination of tissue using a microscope, intermediate complexity	157	96	$339.50	$38.35
88307 Pathology examination of tissue using a microscope, moderately high complexity	121	63	$566.89	$84.39
88342 Special stained specimen slides to examine tissue, initial procedure	68	65	$240.06	$35.53
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	59	59	$1797.86	$182.05
88363 Examination of archival tissue for genetic analysis	44	42	$151.23	$19.47
88300 Pathology examination of tissue using a microscope, limited examination	30	17	$91.60	$4.58
88360 Microscopic genetic analysis of tumor	16	13	$330.88	$42.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	350	91	$181.16	$29.46
88321 Surgical pathology consultation and report on referred slides prepared elsewhere	247	244	$295.34	$85.21
88305 Pathology examination of tissue using a microscope, intermediate complexity	162	114	$329.07	$38.81
88342 Special stained specimen slides to examine tissue, initial procedure	108	103	$231.83	$36.29
88307 Pathology examination of tissue using a microscope, moderately high complexity	93	57	$551.60	$85.80
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	47	47	$1745.66	$183.99
88363 Examination of archival tissue for genetic analysis	46	46	$146.61	$20.41
88331 Pathology examination of specimen during surgery, first tissue block	28	14	$421.36	$64.30
88360 Microscopic genetic analysis of tumor	26	23	$322.62	$43.49
88309 Pathology examination of tissue using a microscope, high complexity	19	15	$733.21	$145.09
88300 Pathology examination of tissue using a microscope, limited examination	18	16	$87.56	$4.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88341 Special stained specimen slides to examine tissue	233	71	$175.08	$30.25
88305 Pathology examination of tissue using a microscope, intermediate complexity	197	128	$317.63	$39.59
88321 Surgical pathology consultation and report on referred slides prepared elsewhere	149	147	$284.82	$89.66
88307 Pathology examination of tissue using a microscope, moderately high complexity	90	50	$532.08	$88.55
88342 Special stained specimen slides to examine tissue, initial procedure	82	78	$224.02	$37.41
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	52	52	$1682.42	$185.58
88363 Examination of archival tissue for genetic analysis	29	28	$139.86	$20.86
88344 Special stained specimen slides to examine tissue	21	15	$318.86	$40.72
88331 Pathology examination of specimen during surgery, first tissue block	21	11	$407.43	$66.77
88309 Pathology examination of tissue using a microscope, high complexity	18	15	$711.11	$155.82
88360 Microscopic genetic analysis of tumor	12	11	$315.25	$44.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88321 Surgical pathology consultation and report on referred slides prepared elsewhere	259	256	$274.55	$88.23
88305 Pathology examination of tissue using a microscope, intermediate complexity	251	154	$304.27	$40.15
88307 Pathology examination of tissue using a microscope, moderately high complexity	181	72	$498.11	$87.92
88341 Special stained specimen slides to examine tissue	158	80	$168.16	$29.98
88342 Special stained specimen slides to examine tissue, initial procedure	92	89	$215.96	$37.45
88331 Pathology examination of specimen during surgery, first tissue block	69	33	$392.07	$66.42
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	41	41	$1985.17	$188.01
88309 Pathology examination of tissue using a microscope, high complexity	28	27	$683.71	$155.45
88332 Pathology examination of specimen during surgery, each additional tissue block	20	12	$266.50	$32.85
88363 Examination of archival tissue for genetic analysis	11	11	$139.00	$20.77
88360 Microscopic genetic analysis of tumor	11	11	$299.00	$44.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	402	188	$304.51	$39.95
88321 Surgical pathology consultation and report on referred slides prepared elsewhere	250	248	$272.00	$87.83
88307 Pathology examination of tissue using a microscope, moderately high complexity	143	71	$505.00	$87.81
88341 Special stained specimen slides to examine tissue	122	66	$166.00	$29.88
88342 Special stained specimen slides to examine tissue, initial procedure	85	82	$213.00	$37.43
88331 Pathology examination of specimen during surgery, first tissue block	34	16	$387.00	$66.58
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	32	32	$2192.00	$186.86
88309 Pathology examination of tissue using a microscope, high complexity	23	22	$676.00	$155.83
88344 Special stained specimen slides to examine tissue	19	18	$305.00	$41.03
88300 Pathology examination of tissue using a microscope, limited examination	16	15	$80.00	$4.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	513	189	$303.00	$38.38
88321 Surgical pathology consultation and report on referred slides prepared elsewhere	252	247	$272.00	$86.05
88341 Special stained specimen slides to examine tissue	148	54	$166.00	$28.83
88307 Pathology examination of tissue using a microscope, moderately high complexity	134	57	$505.00	$84.26
88342 Special stained specimen slides to examine tissue, initial procedure	69	64	$213.00	$35.82
88331 Pathology examination of specimen during surgery, first tissue block	42	24	$387.00	$63.49
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	34	34	$2192.00	$183.40
88309 Pathology examination of tissue using a microscope, high complexity	20	20	$676.00	$153.00
88344 Special stained specimen slides to examine tissue	20	17	$305.00	$40.29
88300 Pathology examination of tissue using a microscope, limited examination	14	13	$80.00	$4.57

Medical Specialties & State Licenses

Pathology - Anatomic Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0101X

State License TX M9544

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

202897901 (TX)

Commercial Insurance / Payer ID Rr Medicare

P00729516 (TX)

Commercial Insurance / Payer ID Bcbs

8U9724 (TX)

Hospital & Practice Group Affiliations

Physicians Referral Service

2130 W Holcombe Blvd, Houston, TX 770304009

Phone: 7135925433

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Merry Chen , MD

Psychiatry & Neurology - Neurology

NPI 1003022013

Doctor of Medicine (M.D.)

Dr. Ameena Malhotra , MD

Internal Medicine - Nephrology

NPI 1003046822

Doctor of Medicine (M.D.)

Dr. Bryan Guillory , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003102674

Doctor of Medicine (M.D.)

Dr. January Tsai , MD

Anesthesiology

NPI 1003121237

Doctor of Medicine (M.D.)

Dr. Sunyoung Lee , MD

Internal Medicine - Medical Oncology

NPI 1003159054

Doctor of Medicine (M.D.)

Rachel Futrell , PA-C

Physician Assistant

NPI 1003193350

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 11, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 11, 2012

Registered at 1515 HOLCOMBE BLVD, HOUSTON, TX 770304009 (Tel: 7137926161)

📍

Updated Business Mailing Address April 11, 2012

Registered at PO BOX 4439, HOUSTON, TX 772104439 (Tel: 7137922991)

👤

Provider Name / Credentials Updated April 11, 2012

Recorded as PRIYA RAO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2012

Pathology (License #M9544 in TX)

🟢

Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1346333481

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 02, 2006

Last Update: April 11, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 4439

Houston, TX 772104439

Phone: 7137922991

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.